Provider Demographics
NPI:1225281819
Name:OBREGON, VANESSA L (PA-C)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:L
Last Name:OBREGON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:922 S CLOSNER BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5642
Mailing Address - Country:US
Mailing Address - Phone:956-381-8431
Mailing Address - Fax:956-381-0325
Practice Address - Street 1:922 S CLOSNER BLVD STE C
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5642
Practice Address - Country:US
Practice Address - Phone:956-381-8431
Practice Address - Fax:956-381-0325
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L17856Medicare PIN
TX613536/GROUP PTANMedicare PIN