Healthcare Provider Details

I. General information

NPI: 1720973936
Provider Name (Legal Business Name): OSCAR TIJERINA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S BRYAN RD
MISSION TX
78572-6613
US

IV. Provider business mailing address

900 S BRYAN RD
MISSION TX
78572-6613
US

V. Phone/Fax

Practice location:
  • Phone: 956-598-7022
  • Fax: 956-598-9102
Mailing address:
  • Phone: 956-598-7022
  • Fax: 956-598-7021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number1205833985
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: