MEDICARE: ERIKA CARDENAS

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1770263527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA CARDENAS

Provider Business Mailing Address
First Line	:	3310 OAKWELL CT APT 9206
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-3894
Country	:	US
Telephone Number	:	832-671-8643
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 OAKWELL CT APT 9206
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-3894
Country	:	US
Telephone Number	:	832-671-8643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2023
Last Update Date	:	07/18/2023

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Directions to “ ERIKA CARDENAS ” Practice Location

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