MEDICARE: MERCEDES SERRANO PA

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1982901047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCEDES SERRANO PA

Provider Business Mailing Address
First Line	:	6110 GULFTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2304
Country	:	US
Telephone Number	:	713-777-2404
Fax Number	:

Provider Business Practice Location Address
First Line	:	6110 GULFTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2304
Country	:	US
Telephone Number	:	713-777-2404
Fax Number	:

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

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	07/06/2012

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Directions to “ MERCEDES SERRANO PA” Practice Location

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