Healthcare Provider Details

I. General information

NPI: 1467905893
Provider Name (Legal Business Name): KARLA ADRIANA CUARON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 ANTONIO ST
ANTHONY TX
79821-7146
US

IV. Provider business mailing address

1432 ANTONIO ST
ANTHONY TX
79821-7146
US

V. Phone/Fax

Practice location:
  • Phone: 915-886-2413
  • Fax:
Mailing address:
  • Phone: 915-886-2413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58797
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: