Bernice Zacnite Esteghamatdarshad , PA
Physician Assistant • Laredo, TX
6801 Mcpherson Rd Ste 331
Laredo, TX 780416417
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Bernice Esteghamatdarshad is listed in NPPES under Physician Assistant.
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NPI assigned on October 11, 2013; this date does not establish years in practice.
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Published CMS data list 204 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 72 service units.
- 82565 — Blood creatinine level: 25 service units.
- 80076 — Liver function blood test panel: 24 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 620 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin — 87 prescription fills, including refills.
- Hydroxychloroquine Sulfate — 71 prescription fills, including refills.
- Leflunomide — 53 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 23 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,400 in 2020 to 204 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
6801 Mcpherson Rd Ste 331
Laredo, TX 780416417
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Laredo Arthritis And Rheumatology Center Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
55 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $8,375 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $5,902 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
733 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$646,213 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $843.53 across 33 records.
By nature of payment
- Food and Beverage: $843.53 across 33 records.
Reporting-company totals (3 largest of 7)
- Janssen Pharmaceuticals, Inc: $331.31 across 9 records.
- Novartis Pharmaceuticals Corporation: $308.42 across 13 records.
- Amgen Inc.: $68.70 across 4 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Bernice Esteghamatdarshad has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Bernice Esteghamatdarshad as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Laredo and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Too few clinicians listed under Physician Assistant in Laredo have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Too few clinicians listed under Physician Assistant in Laredo have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Too few clinicians listed under Physician Assistant in Laredo have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Laredo, TX (2024, 13 clinicians with data). Median for this group: 620. Middle half: 177 to 800.
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Laredo, TX (2024, 13 clinicians with data). Median for this group: $55,500. Middle half: $1,185 to $115,829.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
28 active clinicians are listed under Physician Assistant with a practice address in Laredo, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Laredo
3.6% of these 28 clinicians have the CMS telehealth indicator.
42.9% of these 28 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 92% from 2,400 in 2020 to 204 in 2024.
- 2020: 2,400
- 2021: 6,283
- 2022: 6,704
- 2023: 1,685
- 2024: 204
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Medicare-allowed amount
Medicare-allowed amount decreased 88% from $68,544 in 2020 to $8,375 in 2024.
- 2020: $68,544
- 2021: $159,380
- 2022: $174,045
- 2023: $50,176
- 2024: $8,375
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Paid by Medicare
Paid by Medicare decreased 88% from $49,674 in 2020 to $5,902 in 2024.
- 2020: $49,674
- 2021: $122,897
- 2022: $133,388
- 2023: $37,725
- 2024: $5,902
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 75% from 2,511 in 2020 to 620 in 2024.
- 2020: 2,511
- 2021: 2,938
- 2022: 3,013
- 2023: 2,669
- 2024: 620
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30-day fills
30-day fills decreased 75% from 2,968 in 2020 to 733 in 2024.
- 2020: 2,968
- 2021: 3,421
- 2022: 3,595
- 2023: 3,085
- 2024: 733
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Part D drug cost
Part D drug cost decreased 73% from $2,373,929 in 2020 to $646,213 in 2024.
- 2020: $2,373,929
- 2021: $2,776,987
- 2022: $2,990,536
- 2023: $3,393,499
- 2024: $646,213
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $124.70 in 2021 to $843.53 in 2025.
- 2021: $124.70
- 2022: $364.89
- 2023: $610.43
- 2024: $703.58
- 2025: $843.53
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 33 records totaling $843.53.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $103.02 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $38.42 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $34.57 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $31.62 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $28.93 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Bimzelx | General | $27.91 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $27.91 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $27.88 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $27.81 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $27.21 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $26.97 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $26.58 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
ILARIS | General | $26.54 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
COSENTYX | General | $26.39 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
COSENTYX | General | $25.80 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $25.71 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $25.41 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $25.18 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $25.05 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $24.13 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
TAVNEOS | General | $19.03 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $18.57 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $18.49 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
COSENTYX | General | $18.33 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
BENLYSTA | General | $17.86 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
72 | 51 | $210.00 | $102.87 |
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82565
Blood creatinine level
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25 | 22 | $42.00 | $4.82 |
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80076
Liver function blood test panel
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24 | 21 | $44.00 | $7.68 |
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86140
Measurement c-reactive protein for detection of infection or inflammation
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23 | 21 | $45.00 | $4.86 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
22 | 19 | $42.00 | $7.26 |
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36415
Insertion of needle into vein for collection of blood sample
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20 | 18 | $35.00 | $8.22 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
18 | 17 | $30.00 | $12.65 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 87 | 2,790 | $900.04 | 38 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 71 | 3,060 | $1,697.01 | 31 |
| Leflunomide | Leflunomide | 53 | 2,070 | $1,449.60 | 25 |
| Prednisone | Prednisone | 52 | 1,735 | $230.99 | 35 |
| Methotrexate | Methotrexate Sodium | 52 | 1,582 | $572.34 | 22 |
| Colchicine | Colchicine | 27 | 1,110 | $1,521.77 | 15 |
| Diclofenac Sodium | Diclofenac Sodium | 23 | 798 | $797.26 | — |
| Nabumetone | Nabumetone | 23 | 720 | $277.21 | 12 |
| Enbrel Sureclick | Etanercept | 23 | 644 | $166,092.78 | — |
| Allopurinol | Allopurinol | 22 | 1,080 | $158.00 | — |
| Pregabalin | Pregabalin | 20 | 660 | $171.50 | 13 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 18 | 514 | $260.52 | — |
| Sulfasalazine | Sulfasalazine | 18 | 600 | $309.61 | — |
| Alendronate Sodium | Alendronate Sodium | 15 | 572 | $63.50 | — |
| Rinvoq | Upadacitinib | 15 | 450 | $93,977.01 | — |
| Cimzia (2 Pack) | Certolizumab Pegol | 15 | 420 | $83,816.62 | — |
| Folic Acid | Folic Acid | 13 | 511 | $46.55 | — |
| Sulfasalazine Dr | Sulfasalazine | 13 | 390 | $212.99 | — |
| Tramadol Hcl | Tramadol Hcl | 12 | 337 | $96.82 | — |
| Simponi | Golimumab | 12 | 346 | $67,798.46 | — |
| Otezla | Apremilast | 12 | 360 | $57,882.26 | — |
| Orencia Clickject | Abatacept | 12 | 392 | $78,513.72 | — |
| Humira(Cf) Pen | Adalimumab | 12 | 392 | $89,366.08 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20140208000028
TX
9537398847
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Laredo Arthritis And Rheumatology Center Pllc
10410 Medical Loop, Laredo, TX 780456906
Phone: 9567288121
Laredo Arthritis And Rheumatology Center Pllc
10410 Medical Loop, Laredo, TX 780456671
Laredo Arthritis And Rheumatology Center Pllc
1915 S Zapata Hwy, Laredo, TX 780466154
Phone: 9567288121
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Medicine (M.D.), FACS
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 11, 2013.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Laredo
- Jesus Cedillo, PA
- Carolina Gomez-Salinas, PA-C
- Miguel Madrigal, PA-C
- Cesar Banuelos, PA-C
- Diego Mascorro, PA
- Alexa Medrano, PA-C
Mailing Address
P.o. Box 450329
Laredo, TX 780450329
Phone: 9567229918