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Individual

DR. LAURA E CISNEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1719 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8912
(956) 364-2131
(956) 364-2141
Mailing address
1719 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8912
(956) 364-2131
(956) 364-2141

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0036097143
IL
207RH0003X
Hematology & Oncology Physician
Primary
N4352
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0N67740
MEDICARE GROUP #
MI
01
1881683159
BLUECROSS BLUESHIELD OF TEXAS
TX
05
208963302
TX
01
P00851107
RAILROAD MEDICARE
TX
Enumeration date
10/19/2005
Last updated
03/30/2015
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