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NPI Code Detail

MEDICARE: SANDRA IVONNE NORIEGA MD

MEDICARE: SANDRA IVONNE NORIEGA 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
1207V00000XObstetrics & Gynecology PhysicianH8296TX

General Provider Information

NPI Number : 1811991888
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA IVONNE NORIEGA MD
Provider Business Mailing Address
First Line : 7121 S SPID DR
Second Line : STE 200
City : CORPUS CHRISTI
State : TX
Zip : 78412-4940
Country : US
Telephone Number : 361-993-6000
Fax Number : 361-993-3676
Provider Business Practice Location Address
First Line : 7121 S SPID DR
Second Line : STE 200
City : CORPUS CHRISTI
State : TX
Zip : 78412-4940
Country : US
Telephone Number : 361-993-6000
Fax Number : 361-993-3676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 07/08/2007

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Directions to “ SANDRA IVONNE NORIEGA MD” Practice Location

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