Provider Demographics
NPI:1871316877
Name:PARDO, SANDRA DENISE (MSN, APRN, PNP-PC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:DENISE
Last Name:PARDO
Suffix:
Gender:F
Credentials:MSN, APRN, PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 WHIRLWIND ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-5017
Mailing Address - Country:US
Mailing Address - Phone:361-442-9869
Mailing Address - Fax:
Practice Address - Street 1:2538 WHIRLWIND ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-5017
Practice Address - Country:US
Practice Address - Phone:361-442-9869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178238208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics