Individual
CARLOS ENRIQUE ESPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
4100 W UNIVERSITY DR, PROSPER, TX 75078-3123
(945) 204-4100
(682) 885-1903
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
824574
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1073110
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
1073110
TX
Other
Enumeration date
09/29/2021
Last updated
02/26/2024
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