Healthcare Provider Details

I. General information

NPI: 1861891590
Provider Name (Legal Business Name): YADID PINA PAREDES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 ELM ST
ZAPATA TX
78076-3244
US

IV. Provider business mailing address

1703 ELM ST
ZAPATA TX
78076-3244
US

V. Phone/Fax

Practice location:
  • Phone: 956-740-7436
  • Fax:
Mailing address:
  • Phone: 956-740-7436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2086419
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: