Provider Demographics
NPI:1720479884
Name:PINA, DANIEL ANTHONY (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ANTHONY
Last Name:PINA
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:122 W CHAMPION ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4429
Mailing Address - Country:US
Mailing Address - Phone:956-287-1207
Mailing Address - Fax:956-287-1292
Practice Address - Street 1:122 W CHAMPION ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4429
Practice Address - Country:US
Practice Address - Phone:956-287-1207
Practice Address - Fax:956-287-1292
Is Sole Proprietor?:No
Enumeration Date:2015-02-11
Last Update Date:2015-03-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant