MEDICARE: DR. YVONNE EVA BRACAMONTES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	L2817	TX

General Provider Information

NPI Number	:	1326065921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVONNE EVA BRACAMONTES MD

Provider Business Mailing Address
First Line	:	801 E NOLANA AVE
Second Line	:	SUITE 4
City	:	MCALLEN
State	:	TX
Zip	:	78504-6104
Country	:	US
Telephone Number	:	956-686-2626
Fax Number	:	956-686-1616

Provider Business Practice Location Address
First Line	:	801 E NOLANA AVE
Second Line	:	SUITE 4
City	:	MCALLEN
State	:	TX
Zip	:	78504-6104
Country	:	US
Telephone Number	:	956-686-2626
Fax Number	:	956-686-1616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	06/09/2014

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