Most Relevant Information
Provider Data
NPI Number: | 1003245853 |
Provider Name: | ISELA SEGURA |
Entity Type: | Individual |
Taxonomy Code: | 363AM0700X |
Specialty: | Physician Assistant |
License Number: | PA08689 |
Most Important Dates
Enumeration Date: | 11/02/2013 |
Last Updated: | 04/15/2021 |
Provider Practice Location
3406 BOB ROGERS DR
EAGLE PASS
TX
788525941
Practice Location Phone/Fax
Phone: | 8307574900 |
Fax: | 8307574958 |
Provider Mailing Location
1009 LARISA CIR
EAGLE PASS
TX
788525515
Provider Mailing Phone/Fax
Phone: | 8303525258 |
Fax: |