Provider Information for 1588034441
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Mr. RODIN BLADIMIR AMAYA LPC
Sex: Male
NPI: 1588034441
Last Updated: 2023-09-29
Certification Date: 2023-09-29
Certification Date: 2023-09-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1588034441 | ||||||||
| Enumeration Date | 2015-10-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1901 S 24TH AVE EDINBURG, TX 78539-6533 United States Phone: 956-289-7000 | Fax:956-289-7257 | ||||||||
| Primary Practice Address | 1901 S 24TH AVE EDINBURG, TX 78539-6533 United States Phone: 956-289-7000 | Fax:956-289-7257 | ||||||||
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