Individual
SANTIAGO POMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 S 24TH AVE, EDINBURG, TX 78539-6533
(956) 289-7025
(956) 289-7257
Mailing address
1901 S 24TH AVE, EDINBURG, TX 78539-6533
(956) 289-7025
(956) 289-7257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP129797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R945
MEDICARE
TX
05
—
138708611
—
TX
05
—
138708613
—
TX
Enumeration date
12/17/2015
Last updated
12/17/2015
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