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NPI Code Detail

MEDICARE: BRENDA PEDRAZA

MEDICARE: BRENDA PEDRAZA
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
1124Q00000XDental Hygienist20668TX

General Provider Information

NPI Number : 1871456590
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA PEDRAZA
Provider Business Mailing Address
First Line : 32252 STATE HIGHWAY 100
Second Line :
City : LOS FRESNOS
State : TX
Zip : 78566-4328
Country : US
Telephone Number : 956-408-0019
Fax Number :
Provider Business Practice Location Address
First Line : 1101 CAMINO LA COSTA
Second Line :
City : AUSTIN
State : TX
Zip : 78752-3930
Country : US
Telephone Number : 512-478-4939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ BRENDA PEDRAZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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