Individual
JAMES P CARDASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
619 DON ROSALIO, TAOS, NM 87571
(505) 758-4287
Mailing address
PO BOX 2530, RANCHOS DE TAOS, NM 87557-2530
(505) 758-4287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-942-91
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201001447
PHP
NM
01
—
21325
LHP
NM
05
—
E2321
—
NM
01
—
NM01400A
BCBS
NM
01
—
PROVP12107
MOLINA SALUD
NM
Enumeration date
04/28/2006
Last updated
04/16/2008
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