Individual
MARY JANE HORTELANO CUBILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
122 W CHAMPION ST, EDINBURG, TX 78539-4429
(195) 628-7120
(956) 287-1292
Mailing address
1113 W CHAPIN ST, EDINBURG, TX 78541-2316
(956) 429-1134
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1076370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/03/2022
Last updated
10/03/2022
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