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Individual

DAVID CONDADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNP

Contact information

Practice address
5060 CRENSHAW, SUITE 200, PASADENA, TX 77505-3047
(832) 230-3379
Mailing address
5060 CRENSHAW, SUITE 200, PASADENA, TX 77505-3047
(832) 230-3379

Taxonomy

Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
AP124206
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012011397
BOARD CERTIFICATION ANCC
01
AP124206
TEXAS BOARD OF NURSING LICENSE
TX
Enumeration date
01/21/2016
Last updated
01/21/2016
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