MEDICARE: VERONICA LIZETTE SAUCEDO

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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1700524832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA LIZETTE SAUCEDO

Provider Business Mailing Address
First Line	:	300 E RIO GRANDE ST STE 3
Second Line	:
City	:	EAGLE PASS
State	:	TX
Zip	:	78852-6088
Country	:	US
Telephone Number	:	830-872-0010
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E RIO GRANDE ST STE 3
Second Line	:
City	:	EAGLE PASS
State	:	TX
Zip	:	78852-6088
Country	:	US
Telephone Number	:	830-872-0010
Fax Number	:

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

Provider Enumeration Date	:	05/27/2022
Last Update Date	:	05/27/2022

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Directions to “ VERONICA LIZETTE SAUCEDO ” Practice Location

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