Individual provider · NPI-1

Dr. Ruben D Bocanegra, MD

Family Medicine · Laredo, TX

NPI number1205820602
StatusActive
Last updated in NPPESApr 29, 2022

Details

NPI
1205820602
Entity type
Individual (NPI-1)
Name
Dr. Ruben D Bocanegra
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2005
Certification date
Apr 29, 2022
Last updated
Apr 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicinej8919TXYes

Practice location

4151 Jaime Zapata Memorial Hwy
Ste 101-B
Laredo, TX 78043-4725

Phone 956-724-2800 · Fax 956-724-4167

Mailing address

4151 Jaime Zapata Memorial Hwy
Ste 101-B
Laredo, TX 78043-4725

Phone 956-724-2800 · Fax 956-724-4167

Other practice locations

7210 Mcpherson Rd Ste 200
Laredo, TX 78041-6505

Phone 956-724-2800 · Fax 956-724-4167

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