Individual
BRENDA HAJJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 E SPRAGUE ST, EDINBURG, TX 78542-5260
(956) 362-8383
(956) 362-8382
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-8383
(956) 362-8382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA04907
TX
363AM0700X
Medical Physician Assistant
Primary
PA04907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184319503
—
TX
05
—
184319504
—
TX
01
—
PA LICENSE
PA04907
TX
Enumeration date
08/14/2006
Last updated
03/23/2023
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