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Individual

MRS. JOANNA IMPERIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
191 E PRICE RD, BROWNSVILLE, TX 78521-3527
(956) 548-7400
(956) 621-3689
Mailing address
191 E PRICE RD, BROWNSVILLE, TX 78521-3527
(956) 548-7400
(956) 621-3689

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
566398
TX
367A00000X
Advanced Practice Midwife
Primary
AP108476
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036798905
TX
01
735064
MEDICARE
TX
01
8G1343
MEDICARE PROVIDER NUMBER
TX
Enumeration date
01/09/2008
Last updated
05/13/2021
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