Provider Demographics
NPI:1194368480
Name:SINOSA, WENCESLAO JR (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:WENCESLAO
Middle Name:
Last Name:SINOSA
Suffix:JR
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 N 43RD ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3476
Mailing Address - Country:US
Mailing Address - Phone:956-342-4712
Mailing Address - Fax:
Practice Address - Street 1:3717 N 43RD ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3476
Practice Address - Country:US
Practice Address - Phone:956-342-4712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-20
Last Update Date:2019-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily