Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 27202 | TX |
Y | 213EG0000X | General Practice | 27202 | TX |
NPI | 1003195116 |
---|---|
Provider Name | Dr. Carlos F. Carrion |
First Address | Houston, TX 77005-3207 |
Second Address | Houston, TX 77094-1019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2011 |
Last Update Date | 18/09/2019 |