Individual
ANDREA FRAGOSO SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 E ALTON GLOOR BLVD, BROWNSVILLE, TX 78526-3831
(956) 542-2325
Mailing address
4200 LAS PALMAS CIR APT 712, BROWNSVILLE, TX 78521-2882
(956) 592-9875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11159
TX
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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