Provider Demographics
NPI:1942578638
Name:CARDALES, SAYA W (OD)
Entity Type:Individual
Prefix:DR
First Name:SAYA
Middle Name:W
Last Name:CARDALES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SAYA
Other - Middle Name:W
Other - Last Name:CARDALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18121 MARSH LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-5742
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18121 MARSH LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-5742
Practice Address - Country:US
Practice Address - Phone:972-862-2262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7673TG152W00000X
TX07673TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1942578638OtherNPI