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Sunrise Total Mind Wellness Referrals

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Referred by

  • Referring physician: David Cruz
  • Referring physician contact number: 9567918008
  • Practice name: DR. DAVID H. CRUZ
  • Practice contact name: JOHANNA GONZALEZ
  • Practice phone number: 9567918008
  • Practice fax number: 8152054556

Patient information

  • Preferred name: OSIRIS HERNANDEZ CORONA
  • DOB: July 15, 1999
  • Sex: Male
  • Race: White
  • Preferred language: English
  • Marital status: Single
  • Contact number: 9563374008
  • Email address: margaritaH32@yahoo.com
  • Address: 3005 CLARK BLVD
    LAREDO, Texas 78043
  • Reason for visit:

    STRESS/ ANXIETY

Insurance information

  • Insurance policy holder’s name: OSIRIS HERNANDEZ CORONA
  • Insurance policy holder’s DOB: July 15, 1999
  • Primary insurance ID: 0009165474
  • Primary insurance Group: N/A
  • Secondary insurance ID:
  • Secondary insurance Group: