Provider Demographics
NPI:1326277393
Name:ANAYA, MARLA MELINDA (PA-C)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:MELINDA
Last Name:ANAYA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 E RIDGE RD
Mailing Address - Street 2:MED POINT CENTER II SUITE 12
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1527
Mailing Address - Country:US
Mailing Address - Phone:956-631-5333
Mailing Address - Fax:956-631-5803
Practice Address - Street 1:1200 E RIDGE RD
Practice Address - Street 2:MED POINT CENTER II SUITE 12
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1527
Practice Address - Country:US
Practice Address - Phone:956-631-5333
Practice Address - Fax:956-631-5803
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13371432OtherDRIVER LIC.#
TX13371432OtherDRIVER LIC.#
TX613536/GROUP PTANMedicare PIN