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Pacifico Maravillas
Clinical Laboratory Director (Non-physician) in Pharr, Texas
NPI 1538562046

Pacifico Maravillas is a Clinical Laboratory Director (Non-physician) based in Pharr, TX and is specialized in Clinical Laboratory Director, Non-physician. Pacifico Maravillas practices in Pharr, TX. The NPI Number for Pacifico Maravillas is 1538562046 and holds a License No. (Texas).

The current practice location address for Pacifico Maravillas is 300 E Nolana Loop, Pharr, TX and can be reached out via phone at 956-702-5199 and via fax at 956-702-5207.

Location: 300 E Nolana Loop, Pharr, TX, 78577-9684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538562046
Provider Name
Pacifico Maravillas
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 E Nolana Loop, Pharr, TX, 78577-9684
Phone Number
956-702-5199
Fax Number
956-702-5207
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 E Nolana Loop
City
Pharr
State
Texas
Zip
78577-9684
Phone Number
956-702-5199
Fax Number
956-702-5207
person
Provider Business Mailing Address Details
Address
300 E Nolana Loop
City
Pharr
State
Texas
Zip
78577-9684
Phone Number
956-702-5199
Fax Number
956-702-5207
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
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Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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