Provider Demographics
NPI:1356507396
Name:GOVEDNIK, CARA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:MARIE
Last Name:GOVEDNIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARA
Other - Middle Name:MARIE
Other - Last Name:HORNY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2600 E PFLUGERVILLE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-5999
Practice Address - Country:US
Practice Address - Phone:512-654-6500
Practice Address - Fax:512-654-6501
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5633208600000X
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program