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Individual

PERLA LIZETH OLIVO URIBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1214 W SCHUNIOR ST, EDINBURG, TX 78541-2337
(956) 296-1731
(956) 296-1730
Mailing address
2102 TREASURE HILLS BLVD # 3.14406, HARLINGEN, TX 78550-8736
(956) 296-1437
(956) 296-6842

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135417
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3858037-02
TX
01
H08NE46801
BCBS
TX
Enumeration date
02/26/2018
Last updated
01/15/2021
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