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
Phone: (915) 532-4542
Fax: (915) 532-1163
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689815797 | NPPES |
Texas | MEDICAID | 205285401 |
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