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NPI Code Detail

MEDICARE: MONICA CERVANTES DPM

MEDICARE:   MONICA  CERVANTES  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist692251TX

General Provider Information

NPI Number : 1336879881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA CERVANTES DPM
Provider Business Mailing Address
First Line : 8135 FOREST LN # 515057
Second Line :
City : DALLAS
State : TX
Zip : 75230-2472
Country : US
Telephone Number : 469-850-5760
Fax Number :
Provider Business Practice Location Address
First Line : 420 E 6TH ST STE 104
Second Line :
City : ODESSA
State : TX
Zip : 79761-4537
Country : US
Telephone Number : 432-614-1799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2022
Last Update Date : 04/17/2026

Similar Medicare Providers

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Directions to “ MONICA CERVANTES DPM” Practice Location

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