Healthcare Provider Details

I. General information

NPI: 1043865868
Provider Name (Legal Business Name): VANESSA NOEMI COBARRUBIAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 W FILMORE AVE
HARLINGEN TX
78550-6262
US

IV. Provider business mailing address

421 S 77 SUNSHINESTRIP STE F
HARLINGEN TX
78550-7450
US

V. Phone/Fax

Practice location:
  • Phone: 956-454-1108
  • Fax: 866-529-1725
Mailing address:
  • Phone: 956-454-1108
  • Fax: 866-529-1725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA13021
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: