Provider Demographics
NPI:1205193588
Name:CARDONA, TAREN LINDSAY (DPM)
Entity Type:Individual
Prefix:DR
First Name:TAREN
Middle Name:LINDSAY
Last Name:CARDONA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13810 JOHN AUDUBON PKWY
Mailing Address - Street 2:STE B
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-3864
Mailing Address - Country:US
Mailing Address - Phone:281-488-8300
Mailing Address - Fax:832-415-0611
Practice Address - Street 1:13810 JOHN AUDUBON PKWY STE B
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:281-488-8300
Practice Address - Fax:832-415-0611
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT10-2011213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery