MEDICARE: DANIEL MEGO ESPINOZA FNP

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	363LF0000X	Family Nurse Practitioner	AP130524	TX

General Provider Information

NPI Number	:	1821451519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL MEGO ESPINOZA FNP

Provider Business Mailing Address
First Line	:	4913 QUINCE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-8160
Country	:	US
Telephone Number	:	956-605-0933
Fax Number	:

Provider Business Practice Location Address
First Line	:	4913 QUINCE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-8160
Country	:	US
Telephone Number	:	956-605-0933
Fax Number	:

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

Provider Enumeration Date	:	03/31/2016
Last Update Date	:	03/31/2016

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