Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 8872T | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 8872T | TX |
NPI | 1285082594 |
---|---|
Provider Name | Dr. Erika Yasira Pinedo |
First Address | El Paso, TX 79903-2483 |
Second Address | El Paso, TX 79903-2483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2016 |
Last Update Date | 28/07/2016 |