Carrasco, Londa G
Carrasco, Londa G is an individual health care provider with primary practice located at 1911 Port Ln Ste 2 , Amarillo TX 79106-2470. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carrasco, Londa G can be contacted via phone (806) 359-9100.Contact Information
Primary practice address
1911 Port Ln Ste 2
Amarillo TX 79106-2470
Phone: (806) 359-9100
Fax: (806) 359-7022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | J5083 | Texas |
Profile Details
| NPI number | 1104908185 |
|---|---|
| LBN Legal business name | Carrasco, Londa G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | May 2nd, 2013 - about 11 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 | 1104908185 | NPPES |
| Texas | Other | 848615 | BCBS |
| Texas | Other | 5820089 | BCBS |
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