Most Relevant Information
Provider Data
| NPI Number: | 1003516329 |
| Provider Name: | SHASTA HAYES PINA |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 2068857 |
Most Important Dates
| Enumeration Date: | 03/06/2023 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
2952 BOCA CHICA BLVD
BROWNSVILLE
TX
785213506
Practice Location Phone/Fax
| Phone: | 9562438888 |
| Fax: |
Provider Mailing Location
PO BOX 987
LA FERIA
TX
785590987
Provider Mailing Phone/Fax
| Phone: | 9564123269 |
| Fax: |