Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 45393 | TX |
N | 208000000X | Pediatrician | R7190 | TX |
N | 2080P0205X | Pediatric Endocrinologist | 45393 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | R7190 | TX |
NPI | 1467736363 |
---|---|
Provider Name | Maria Fernanda Contreras |
First Address | Amarillo, TX 79106-1708 |
Second Address | Amarillo, TX 79107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2011 |
Last Update Date | 09/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10385223 | (05) | NM |
358681001 | (05) | TX |
358681002 | (05) | TX |
358681003 | (05) | TX |
358681005 | (05) | TX |