Provider Demographics
NPI:1013442284
Name:BARRERA, YADIRA A (PA-C)
Entity type:Individual
Prefix:MRS
First Name:YADIRA
Middle Name:A
Last Name:BARRERA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 N GRANT ST
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-5319
Mailing Address - Country:US
Mailing Address - Phone:956-353-6006
Mailing Address - Fax:956-253-7883
Practice Address - Street 1:606 N GRANT ST
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-5319
Practice Address - Country:US
Practice Address - Phone:956-353-6006
Practice Address - Fax:956-253-7883
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11240208000000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No208000000XAllopathic & Osteopathic PhysiciansPediatrics