Fusco, Carmina M

Fusco, Carmina M is an individual health care provider with primary practice located at 1715 Mccullough Ave 2Nd Floor, San Antonio TX 78212-4046. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Fusco, Carmina M can be contacted via phone (210) 732-3668.

Contact Information

Primary practice address
1715 Mccullough Ave 2Nd Floor San Antonio TX 78212-4046
Phone: (210) 732-3668
Fax: (201) 732-3338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1812 Texas

Profile Details

NPI number 1104822683
LBN Legal business name Fusco, Carmina M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Apr 20th, 2017 - about 7 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 1104822683 NPPES
Other TXB154993 WELLMED NETWORKS INC
Other 8J1317 WELLMED NETWORKS INC
Other 0035PT WELLMED NETWORKS INC
Other TXB126362 WELLMED NETWORKS INC

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