Provider Demographics
NPI:1083604771
Name:INFANTE, NOEMI (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEMI
Middle Name:
Last Name:INFANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 S SESAME SQ STE 8
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7941
Mailing Address - Country:US
Mailing Address - Phone:956-622-3510
Mailing Address - Fax:956-622-3513
Practice Address - Street 1:1821 S SESAME SQ STE 8
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7941
Practice Address - Country:US
Practice Address - Phone:956-622-3510
Practice Address - Fax:956-622-3513
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1783207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177314502Medicaid