Individual
ERNESTO A CADORNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-4906
Mailing address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-2820
(817) 250-4906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L6813
TX
208M00000X
Hospitalist Physician
04-25776
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002041
MEDICARE PTAN
KS
05
—
100175460D
—
KS
05
—
160998401
—
TX
01
—
8H3653
BLUE CROSS & BLUE SHIELD
TX
01
—
P00045886
RAIL ROAD MEDICARE
TX
Enumeration date
10/19/2006
Last updated
04/11/2022
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