Individual provider · Type 1 NPI

Ricky Tijerina

Student in an Organized Health Care Education/Training Program · Carrizo Springs, TX

NPI number 1336412295 Active

Practice location

902 S 5th St
Carrizo Springs, TX 78834-4206

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCONTROL #11731 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336412295

Ricky Tijerina's National Provider Identifier is 1336412295, issued on Feb 22, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Carrizo Springs, TX. The record was last updated on Feb 24, 2012.