Provider Demographics
NPI:1447896048
Name:YSAGUIRRE, ANDRES (APRN)
Entity type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:
Last Name:YSAGUIRRE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 ULEX AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4584
Mailing Address - Country:US
Mailing Address - Phone:956-533-1963
Mailing Address - Fax:
Practice Address - Street 1:2408 ULEX AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4584
Practice Address - Country:US
Practice Address - Phone:956-533-1963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily