Individual
MR. RICK NOEL M CENTENO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 E DOVE AVE STE 202, MCALLEN, TX 78504-4681
(956) 362-2410
(956) 362-2414
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-2410
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP145632
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP145632
TX
Other
Enumeration date
02/18/2020
Last updated
05/23/2022
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