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Sunrise Total Mind Wellness Referrals

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Referred by

  • Referring physician: David Cruz
  • Referring physician contact number: 9567229955
  • Practice name: David H. Cruz
  • Practice contact name: Odalys Romero
  • Practice phone number: 9567229955
  • Practice fax number: 9564138820

Patient information

  • Preferred name: Wanda Palacios
  • DOB: August 16, 1976
  • Sex: Female
  • Race: White
  • Preferred language: English
  • Marital status: Single
  • Contact number: 9567442740
  • Email address: wanda762002@yahoo.com
  • Address: 5205 Feria Dr
    Laredo, Texas 78043
  • Reason for visit:

    Mood Swings

Insurance information

  • Insurance policy holder’s name: Wanda Palacios
  • Insurance policy holder’s DOB: August 16, 1976
  • Primary insurance ID: R59345050
  • Primary insurance Group: 112
  • Secondary insurance ID:
  • Secondary insurance Group: