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Individual
MR. PEDRO NATIVIDAD JR.
Active
Individual
MR. PEDRO NATIVIDAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP103563
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175112502
—
TX
01
—
317543YLPS
WELLMED PTAN
TX
01
—
P01261192
MEDICARE RR
TX
Enumeration date
01/12/2006
Last updated
10/03/2025
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