Provider Demographics
NPI:1336405307
Name:UBINA, ESMERALDA CUNTAPAY (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:ESMERALDA
Middle Name:CUNTAPAY
Last Name:UBINA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 CROSSLANDS DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3846
Mailing Address - Country:US
Mailing Address - Phone:972-675-8805
Mailing Address - Fax:
Practice Address - Street 1:2705 CROSSLANDS DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3846
Practice Address - Country:US
Practice Address - Phone:972-675-8805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA