Organization
RICHARD K CARDENAS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE SMITH (ACCOUNT MANAGER)
(972) 701-8826
Entity
Organization
Contact information
Practice address
1429 CLEAR LAKE RD, SUITE 100, WEATHERFORD, TX 76086-5805
(817) 598-1015
(817) 599-3624
Mailing address
1429 CLEAR LAKE RD, SUITE 100, WEATHERFORD, TX 76086-5805
(817) 598-1015
(817) 599-3624
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G2525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097891801
—
TX
Enumeration date
05/05/2010
Last updated
02/22/2011
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