=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407790439
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | OSCAR CARDONA-SAUSEDO NP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2026
-----------------------------------------------------
Last Update Date | 08/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1831 S GENERAL MCMULLEN DR
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78226-1190
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-358-8255
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1831 S GENERAL MCMULLEN DR
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78226-1190
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-644-8520
-----------------------------------------------------
Fax | 210-644-8525
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1243074
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------