Healthcare Provider Details

I. General information

NPI: 1356263966
Provider Name (Legal Business Name): CLAUDIA L CARDENAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 EL INDIO HWY
EAGLE PASS TX
78852-6615
US

IV. Provider business mailing address

379 ALAZAN DR
EAGLE PASS TX
78852-9614
US

V. Phone/Fax

Practice location:
  • Phone: 830-757-3900
  • Fax: 830-757-3838
Mailing address:
  • Phone: 830-757-3900
  • Fax: 830-757-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1243913
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: