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General NPI Number Information
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NPI Number | 1497422984
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Entity Type | Organization
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Legal Business Name | DR CARLOS CARDENAS PLLC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 1303 MCCULLOUGH AVE STE 533
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5607
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Country | US
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Telephone | 210-465-5545
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Fax | 210-742-9605
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Provider Business Mailing Address
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Address Line | 609 GRANDVIEW PL
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City | SAN ANTONIO
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State | TX
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Zip | 78209-5417
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Country | US
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Telephone | 210-413-8890
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VIRGINIA GONZALEZ
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Credential |
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Telephone | 210-260-7102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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