Basic Information
Provider Information
NPI: 1235129271
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARCAMO
FirstName: KAREN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1355 CENTRAL S PKWY 400
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782325055
CountryCode: US
TelephoneNumber: 2103499300
FaxNumber: 2103662558
Practice Location
Address1: 7940 FLOYD CURL DR
Address2: SUITE 900
City: SAN ANTONIO
State: TX
PostalCode: 782293905
CountryCode: US
TelephoneNumber: 2106141000
FaxNumber: 2106151236
Other Information
ProviderEnumerationDate: 10/21/2005
LastUpdateDate: 05/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XK0663TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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