Provider Demographics
NPI:1801969035
Name:FILOSA, PATRICIA LILIANA (MD)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LILIANA
Last Name:FILOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 E BUSINESS HIGHWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-9617
Mailing Address - Country:US
Mailing Address - Phone:956-585-6300
Mailing Address - Fax:956-583-5705
Practice Address - Street 1:1240 E BUSINESS HIGHWAY 83 STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9617
Practice Address - Country:US
Practice Address - Phone:956-585-6300
Practice Address - Fax:956-583-5705
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4426208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG75006Medicare UPIN
TX00859DMedicare ID - Type Unspecified