MEDICARE: ADRIANNA OROSCO

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	164X00000X	Licensed Vocational Nurse	1012987	TX

General Provider Information

NPI Number	:	1972104362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANNA OROSCO

Provider Business Mailing Address
First Line	:	5511 SHORTHORN DR
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78046-6179
Country	:	US
Telephone Number	:	956-401-2270
Fax Number	:

Provider Business Practice Location Address
First Line	:	5511 SHORTHORN DR
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78046-6179
Country	:	US
Telephone Number	:	956-401-2270
Fax Number	:

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

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	11/03/2020

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Directions to “ ADRIANNA OROSCO ” Practice Location

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