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Organization
MARIA D YSSA MD, PA
Active
Organization
MARIA D YSSA MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA D. YSSA MD (PRESIDENT)
(956) 787-3822
Entity
Organization
Contact information
Practice address
524 S CAGE BLVD, STE F, PHARR, TX 78577-5458
(956) 787-3822
Mailing address
524 S CAGE BLVD, STE F, PHARR, TX 78577-5458
(956) 787-3822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N7513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N7513
TEXAS MEDICAL LICENSE
TX
Enumeration date
08/18/2010
Last updated
08/18/2010
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