Individual
ALFONSO CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N HIGHLAND AVE, SHERMAN, TX 75092-7354
(903) 870-4609
Mailing address
PO BOX 24921, FORT WORTH, TX 76124-1921
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J3759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136862313
—
TX
05
—
136862316
—
TX
01
—
86936X
BLUECROSS BLUESHIELD
TX
01
—
8P0430
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/25/2006
Last updated
04/11/2013
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