Provider Demographics
NPI:1043865868
Name:COBARRUBIAS, VANESSA NOEMI (PA-C)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:NOEMI
Last Name:COBARRUBIAS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 W FILMORE AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6262
Mailing Address - Country:US
Mailing Address - Phone:956-454-1108
Mailing Address - Fax:866-529-1725
Practice Address - Street 1:1614 W FILMORE AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6262
Practice Address - Country:US
Practice Address - Phone:956-454-1108
Practice Address - Fax:866-529-1725
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TXPA13021363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant