Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0835 | TX |
Y | 222Z00000X | Podiatrist | 0835 | TX |
N | 213ES0131X | Foot Surgery | 0835 | TX |
NPI | 1285634261 |
---|---|
Provider Name | Dr. Constance Camarda |
First Address | Sugar Land, TX 77479-5018 |
Second Address | Sugar Land, TX 77479 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 16/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018833601 | (05) | TX |
480008008 | RAILROAD MEDICARE (01) | TX |
T12514 | (02) | TX |