Individual
TU RICCEL CONJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1401 E 8TH ST, WESLACO, TX 78596-6640
(833) 887-4863
(956) 296-6857
Mailing address
204 GLASSCOCK, EDINBURG, TX 78541-8156
(956) 330-3176
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP133420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368964803
—
TX
01
—
H08LW85301
BCBS
TX
Enumeration date
02/24/2017
Last updated
01/15/2020
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