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NPI Code Detail

MEDICARE: EMMANUEL EROSA

MEDICARE:   EMMANUEL  EROSA
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
1183700000XPharmacy Technician370411TX

General Provider Information

NPI Number : 1487570362
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL EROSA
Provider Business Mailing Address
First Line : 2507 MAGDALENA AVE
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78526-3687
Country : US
Telephone Number : 956-574-9707
Fax Number : 866-680-1489
Provider Business Practice Location Address
First Line : 2155 PAREDES LINE RD
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-1609
Country : US
Telephone Number : 956-574-9707
Fax Number : 866-680-1489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ EMMANUEL EROSA ” Practice Location

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