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NPI Code Detail

MEDICARE: CARLA ALISON CANTUALLA

MEDICARE:   CARLA ALISON CANTUALLA
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
1363LA2100XAcute Care Nurse Practitioner2025045459TX

General Provider Information

NPI Number : 1245194174
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA ALISON CANTUALLA
Provider Business Mailing Address
First Line : 4521 VANCE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-8161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4521 VANCE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-8161
Country : US
Telephone Number : 913-808-7307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ CARLA ALISON CANTUALLA ” Practice Location

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