Provider Demographics
NPI:1073355046
Name:CARDOZA, CHRIS (RN)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:CARDOZA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 W ILLINOIS AVE STE 22
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-6232
Mailing Address - Country:US
Mailing Address - Phone:432-681-7613
Mailing Address - Fax:432-699-6290
Practice Address - Street 1:3303 W ILLINOIS AVE STE 22
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-6232
Practice Address - Country:US
Practice Address - Phone:432-681-7613
Practice Address - Fax:432-699-6290
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX958581163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health