Individual
MAYRA DERUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
910 S BRYAN RD STE 209, MISSION, TX 78572-6659
(956) 424-1511
Mailing address
910 S BRYAN RD STE 209, MISSION, TX 78572-6659
(956) 424-1511
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP138577
TX
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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