Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 32501 | TX |
NPI | 1013452994 |
---|---|
Provider Name | Claudia M Ancira |
First Address | Laredo, TX 78045-7549 |
Second Address | Laredo, TX 78045-7549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2016 |
Last Update Date | 09/08/2021 |