Provider Demographics
NPI:1518698869
Name:SERDA, BIANCA APRIL
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:APRIL
Last Name:SERDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2975
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2975
Mailing Address - Country:US
Mailing Address - Phone:956-362-2465
Mailing Address - Fax:956-362-2466
Practice Address - Street 1:2717 MICHAELANGELO DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1408
Practice Address - Country:US
Practice Address - Phone:956-362-2465
Practice Address - Fax:956-362-2466
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA16540363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical