Carcoba, Dora Maria

Carcoba, Dora Maria is an sole proprietor health care provider with primary practice located at 101 Rim Rd Suite 300, El Paso TX 79902-3667. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Carcoba, Dora Maria can be contacted via phone (915) 532-4542.

Contact Information

Primary practice address
101 Rim Rd Suite 300 El Paso TX 79902-3667
Fax: (915) 532-1163
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 596064 Texas

Profile Details

NPI number 1689815797
LBN Legal business name Carcoba, Dora Maria
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2009
Last updated Aug 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689815797 NPPES
Texas MEDICAID 205285401

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