Provider Demographics
NPI:1730179409
Name:PARADA, VICTORIA A (MD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:A
Last Name:PARADA
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2101 PEASE ST
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8307
Mailing Address - Country:US
Mailing Address - Phone:956-389-6565
Mailing Address - Fax:956-389-6567
Practice Address - Street 1:2101 PEASE ST
Practice Address - Street 2:SUITE 1G
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8307
Practice Address - Country:US
Practice Address - Phone:956-389-6565
Practice Address - Fax:956-389-6567
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2017-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL75142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162586503Medicaid
TX1625865-04Medicaid
TX8L15908Medicare PIN