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Sunrise Total Mind Wellness Referrals

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Referred by

  • Referring physician: DAVID CRUZ
  • Referring physician contact number: 9564892630
  • Practice name: David H Cruz MD PA
  • Practice contact name: Odalys
  • Practice phone number: 9567918008
  • Practice fax number: 956-413-8820

Patient information

  • Preferred name: Gabriela Soliz
  • DOB: April 14, 1993
  • Sex: Female
  • Race: White
  • Preferred language: English
  • Marital status: Single
  • Contact number: 956-576-2489
  • Email address: gabiicnhs0414@gmail.com
  • Address: 106 E. SAN JOSE ST
    Laredo, Texas 78040
  • Reason for visit:

    Anxiety

Insurance information

  • Insurance policy holder’s name: Gabriela Soliz
  • Insurance policy holder’s DOB: April 14, 1993
  • Primary insurance ID: 513662479
  • Primary insurance Group: 123
  • Secondary insurance ID:
  • Secondary insurance Group: