Tomasa Vidaurri, LVN
Individual provider Active NPI Licensed Vocational Nurse · Mathis, TX
NPI 1780187740 · NPPES record last updated Mar 15, 2018
Key facts
- NPI
- 1780187740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 308380 (TX)
- Practice address
- 269 Brown LN
Mathis, TX 78368-4349 - Phone
- (361) 980-6037
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308380 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 308380 | TX | Yes |
Addresses
Primary practice location
269 Brown LN
Mathis, TX 78368-4349
Mailing address
269 Brown LN
Mathis, TX 78368-4349
Phone (361) 980-6037
Other providers in Mathis, TX
- South Padre Island Pediatric Clinic PA
- Trio Hospice - Rural Inc
- Trio Hospice - Rural, Inc
- Uvalde County Hospital Authority
- Kelly L Veracruz
All providers in Mathis, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.