Healthcare Provider Details

I. General information

NPI: 1770057242
Provider Name (Legal Business Name): ALFREDO ALEJANDRO URANGA CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 PEASE ST
HARLINGEN TX
78550-8307
US

IV. Provider business mailing address

2006 PHEASANT DR
HARLINGEN TX
78550-8730
US

V. Phone/Fax

Practice location:
  • Phone: 956-389-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP140200
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: