Individual
MRS. CHRISTIE DIANE AMBRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
165 S 6TH ST, RAYMONDVILLE, TX 78580-3521
(956) 689-5506
(956) 689-1988
Mailing address
165 S 6TH ST, RAYMONDVILLE, TX 78580-3521
(956) 689-5506
(956) 689-1988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
04887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04887
TX LICENSE
TX
Enumeration date
05/18/2007
Last updated
03/07/2023
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