=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376045906
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CLAUDIA GISELA BARBOSA APN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2018
-----------------------------------------------------
Last Update Date | 03/13/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 864 CENTRAL BLVD 2700
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78520-7505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-544-6900
-----------------------------------------------------
Fax | 956-544-6905
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 864 CENTRAL BLVD STE 2700
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78520-7505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-572-6139
-----------------------------------------------------
Fax | 956-544-6900
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | AP136806
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------