Individual
LAURA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4217 NORTH MCCOLL RD STE 700, MCALLEN, TX 78504-4466
(956) 627-0817
(956) 627-0975
Mailing address
4217 NORTH MCCOLL RD STE 700, MCALLEN, TX 78504-4466
(956) 627-0817
(956) 627-0975
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
S1398
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2015
Last updated
05/14/2020
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