Individual
MRS. DORA MARIA CARCOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
101 RIM RD, SUITE 300, EL PASO, TX 79902-3667
(915) 532-4542
(915) 532-1163
Mailing address
101 RIM RD, SUITE 300, EL PASO, TX 79902-3667
(915) 532-4542
(915) 532-1163
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
596064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205285401
—
TX
Enumeration date
03/19/2009
Last updated
08/06/2012
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