Anzaldua, Juan

Anzaldua, Juan is an individual health care provider with primary practice located at 2603 Michaelangelo Dr , Edinburg TX 78539-1417. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anzaldua, Juan can be contacted via phone (956) 362-8767.

Contact Information

Primary practice address
2603 Michaelangelo Dr Edinburg TX 78539-1417
Phone: (956) 362-8767
Fax: (956) 362-2548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07237 Texas

Profile Details

NPI number 1124311394
LBN Legal business name Anzaldua, Juan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2011
Last updated Feb 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124311394 NPPES
Texas MEDICAID 355872803

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