Individual
MISS CLAUDIA EDITH SOBREVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 N MAIN ST, SUITE C, DONNA, TX 78537-2725
(956) 460-0895
Mailing address
6817 ADAMS DR, MISSION, TX 78573-7513
(956) 457-7744
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA07840
TX
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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