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Contact Information

CANOVA INTERNAL MEDICINE CLINIC,PA.
6602 POLARIS DR.
STE 5
LAREDO, TX78041
 Phone: 956-791-1414
 Fax: 956-796-9495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CANOVA INTERNAL MEDICINE CLINICPA · (Female)

NPI Number 1558643478
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2011
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # P0706
  • TX Other B0183294 DPS
  • TX Other P0706 TX-LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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