Provider Demographics
NPI:1467592394
Name:OROZCO, ISAURA P (LPT)
Entity Type:Individual
Prefix:
First Name:ISAURA
Middle Name:P
Last Name:OROZCO
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 N 23RD ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6139
Mailing Address - Country:US
Mailing Address - Phone:956-664-1816
Mailing Address - Fax:956-687-5638
Practice Address - Street 1:1729 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4356
Practice Address - Country:US
Practice Address - Phone:956-973-8972
Practice Address - Fax:956-973-8972
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1086981225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T6065OtherBCBS NUMBER
TX8T6065OtherBCBS NUMBER