Individual
ANURAG SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 N MCCOLL ST, HIDALGO, TX 78557-3935
(956) 533-6049
Mailing address
PO BOX 720732, MCALLEN, TX 78504-0732
(956) 533-6049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348362005
—
TX
05
—
348362006
—
TX
01
—
424535ZXN4
MEDICARE
TX
01
—
8304MC
BCBS
TX
01
—
P0178748
RAILROAD MEDICARE
TX
Enumeration date
04/22/2015
Last updated
03/27/2019
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