Provider Demographics
NPI:1619348190
Name:PEDROZA, MARGARITA (CPNP-AC)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:PEDROZA
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:
Other - Last Name:VALLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5130 GATEWAY BLVD E # 51015
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-1608
Mailing Address - Country:US
Mailing Address - Phone:915-215-4480
Mailing Address - Fax:915-215-5386
Practice Address - Street 1:5400 ALAMEDA AVE BLDG B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2914
Practice Address - Country:US
Practice Address - Phone:915-242-8402
Practice Address - Fax:915-242-8404
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128377363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care