Doctor Name: | GLENDA M CARDONA |
NPI Number: | 1639478274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. - C |
License Number: | PA 08799 |
Business Practice Address: | 4501 N. Mesa El Paso, TX - 79912 |
Business Phone Number: | 9155912080 |
Business Fax Number: | |
Mailing Address: | 9312b Wolff Ave, EL PASO |
State: | TX |
Postal Code: | 799063212 |
Phone Number: | 9155912080 |
Fax Number: | 9155912080 |
NPI Enumeration Date: | 03/22/2011 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PA 08799 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |