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NPI Code Detail

MEDICARE: DR. SAYA W CARDALES O.D.

MEDICARE: DR. SAYA W CARDALES O.D.
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
1152W00000XOptometrist7673TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11942578638OTHERNPI

General Provider Information

NPI Number : 1942578638
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAYA W CARDALES O.D.
Provider Business Mailing Address
First Line : 18121 MARSH LN
Second Line :
City : DALLAS
State : TX
Zip : 75287-5742
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18121 MARSH LN
Second Line :
City : DALLAS
State : TX
Zip : 75287-5742
Country : US
Telephone Number : 972-862-2262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2011
Last Update Date : 12/31/2020

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