Healthcare Provider Details

I. General information

NPI: 1376284695
Provider Name (Legal Business Name): LORENA SARAI MEJORADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2022
Last Update Date: 04/02/2022
Certification Date: 04/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 CITY CENTRAL AVE
CONROE TX
77304-2981
US

IV. Provider business mailing address

925 CITY CENTRAL AVE
CONROE TX
77304-2981
US

V. Phone/Fax

Practice location:
  • Phone: 915-238-7240
  • Fax:
Mailing address:
  • Phone: 915-238-7240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: