Individual
CARMINA M FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1715 MCCULLOUGH AVE, 2ND FLOOR, SAN ANTONIO, TX 78212-4046
(210) 732-3668
(201) 732-3338
Mailing address
1715 MCCULLOUGH AVE, 2ND FLOOR, SAN ANTONIO, TX 78212-4046
(210) 732-3668
(201) 732-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035PT
BCBS
TX
01
—
8J1317
BCBS
TX
01
—
TXB126362
WELLMED
TX
01
—
TXB154993
WELLMED NETWORKS INC
—
Enumeration date
06/21/2005
Last updated
04/20/2017
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