Provider Information for 1487985511
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CARLA FALCON CHEATHAM LPC
Sex: Female
NPI: 1487985511
Last Updated: 2024-03-20
Certification Date: 2024-03-20
Certification Date: 2024-03-20
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1487985511 | ||||||||||||
| Enumeration Date | 2010-01-29 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 7527 E COUNTY ROAD 7220 SLATON, TX 79364-7525 United States Phone: 210-777-1679 | Fax: | ||||||||||||
| Primary Practice Address | 7527 E COUNTY ROAD 7220 SLATON, TX 79364-7525 United States Phone: 210-777-1679 | Fax: | ||||||||||||
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