Individual
LONDA G CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1911 PORT LN STE 2, AMARILLO, TX 79106-2470
(806) 359-9100
(806) 359-7022
Mailing address
1911 PORT LN STE 2, AMARILLO, TX 79106-2470
(806) 359-9100
(806) 359-7022
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J5083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5820089
AETNA
TX
01
—
848615
BCBS
TX
Enumeration date
10/19/2006
Last updated
05/02/2013
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