Carmina M Fusco
Foot Surgery
1715 Mccullough Ave 2nd Floor
San Antonio
, Texas 78212-4046
Carmina M Fusco
Foot Surgery
1715 Mccullough Ave 2nd Floor
San Antonio
, Texas 78212-4046
(201) 732-3338
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Carmina M Fusco
- 1715 Mccullough Ave 2nd Floor
- San Antonio, TX
- Zip : 78212-4046
- Fax : (201) 732-3338
- Phone : (210) 732-3668
Second Address
- Carmina M Fusco
- 1715 Mccullough Ave 2nd Floor
- San Antonio, TX
- Zip : 78212-4046
- Fax : (201) 732-3338
- Phone : (210) 732-3668
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Is Carmina M Fusco a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 1812 | TX |
National Provider Identifier
| NPI | 1104822683 |
|---|---|
| Provider Name | Carmina M Fusco |
| First Address | San Antonio, TX 78212-4046 |
| Second Address | San Antonio, TX 78212-4046 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 20/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0035PT | BCBS (01) | TX |
| 8J1317 | BCBS (01) | TX |
| TXB126362 | WELLMED (01) | TX |
| TXB154993 | WELLMED NETWORKS INC (01) | |
| U53629 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.