NPI 1073538799 · live from the CMS NPI Registry
Corazon Gladys White Ajero, MD
Pediatrics, Developmental - Behavioral Pediatrics in Edinburg, TX. National Provider Identifier 1073538799, active.
NPI record
| NPI | 1073538799 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 316 Conquest Blvd, Suite 300, Edinburg, TX 78539 |
| Practice phone | 956-383-7779 |
| Mailing address | Po Box 1820, Edinburg, TX 78540 |
| Enumerated | July 13, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | M1455 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.