Provider Demographics
NPI:1285634261
Name:CAMARDA, CONSTANCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:
Last Name:CAMARDA
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 1:6515 PLANETREE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5018
Mailing Address - Country:US
Mailing Address - Phone:281-242-6202
Mailing Address - Fax:281-242-6202
Practice Address - Street 1:6515 PLANETREE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-242-6202
Practice Address - Fax:281-242-6202
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0835213ES0131X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018833601Medicaid
TX480008008OtherRAILROAD MEDICARE
TX760146683OtherEIN/TAX ID
TX00TN72Medicare PIN
TX018833601Medicaid
TX480008008Medicare PIN