Healthcare Provider Details

I. General information

NPI: 1992269898
Provider Name (Legal Business Name): EVA PAYER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6905 N 34TH ST
MCALLEN TX
78504-5841
US

IV. Provider business mailing address

6905 N 34TH ST
MCALLEN TX
78504-5841
US

V. Phone/Fax

Practice location:
  • Phone: 956-227-7888
  • Fax:
Mailing address:
  • Phone: 956-227-7888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number701846
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: