Individual
MARTHA PATRICIA AGUAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 W TEEGE AVE, HARLINGEN, TX 78550-4667
(956) 412-3337
Mailing address
2009 MANDY LN, CORPUS CHRISTI, TX 78412-4529
(361) 945-2725
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
153825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
05/21/2020
Last updated
05/21/2020
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