Healthcare Provider Details

I. General information

NPI: 1043058506
Provider Name (Legal Business Name): NORMA LORRAINE BAYLOR BOCANEGRA LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E HACKBERRY AVE
MCALLEN TX
78501-6502
US

IV. Provider business mailing address

300 HIBISCUS AVE
MCALLEN TX
78501-1800
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-7100
  • Fax: 956-291-9897
Mailing address:
  • Phone: 956-802-2925
  • Fax: 956-291-9897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number214257
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: