| Doctor Name: | ALFONSO A CARDENAS |
| NPI Number: | 1083650451 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 14897 |
| Business Practice Address: | 2340 E Main St Suite 1 Cushing, OK - 740232905 |
| Business Phone Number: | 9182256904 |
| Business Fax Number: | |
| Mailing Address: | 3555 Nw 58th St, Suite 900 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731124707 |
| Phone Number: | 4059170418 |
| Fax Number: | 4059170419 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 14897 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |