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ALMA DELIA CADENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5414 S BROADWAY AVE, TYLER, TX 75703-1335
(903) 581-1601
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05940
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220471101
TX
05
220471102
TX
05
220471103
TX
05
220471104
TX
01
75-0218167-044
TRICARE
TX
01
75-0818167-015
TRICARE
TX
01
75-0818167-048
TRICARE
TX
01
75-1976930-005
TRICARE
TX
01
75-2616977-001
TRICARE
TX
01
75-2616977-028
TRICARE
TX
01
752616977002
TRICARE
TX
01
8282ND
BCBS BLUE
TX
01
835N38
BCBS
TX
01
8811NF
BCBS
TX
01
P01276466
RAIL ROAD
TX
01
P0181261
RAIL ROAD
TX
01
TIN PLUS 022
TRICARE
TX
Enumeration date
12/08/2010
Last updated
10/10/2014
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