Individual
MS. CARMEN CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 FLOURNOY RD STE 2A, ALICE, TX 78332-4088
(361) 664-1417
Mailing address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 396-0370
(361) 664-2248
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
03220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184345001
—
TX
05
—
184345002
—
TX
Enumeration date
07/03/2006
Last updated
08/24/2018
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