Provider Demographics
NPI:1497117063
Name:SERNA, MYRNA KATALINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MYRNA
Middle Name:KATALINA
Last Name:SERNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 650859
Mailing Address - Street 2:DEPT 710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-6106
Mailing Address - Country:US
Mailing Address - Phone:409-747-6240
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-6106
Practice Address - Country:US
Practice Address - Phone:409-772-2222
Practice Address - Fax:617-278-6906
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME140244207R00000X
FL140244207R00000X
MA282710207R00000X
TXS4386207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine