Provider Demographics
NPI:1760626410
Name:CROMBET, OFELIA (MD)
Entity Type:Individual
Prefix:
First Name:OFELIA
Middle Name:
Last Name:CROMBET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OFELIA
Other - Middle Name:
Other - Last Name:CROMBET RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1408 E. 8TH STREET
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596
Mailing Address - Country:US
Mailing Address - Phone:956-968-0103
Mailing Address - Fax:956-968-0481
Practice Address - Street 1:1408 E. 8TH STREET
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596
Practice Address - Country:US
Practice Address - Phone:956-968-0103
Practice Address - Fax:956-968-0481
Is Sole Proprietor?:No
Enumeration Date:2009-04-25
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6171208000000X
FLME1037882080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology