# CARL D'AGOSTINO M.D., LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467591719
- **Authorized official:** CARL D'AGOSTINO M.D. (PARTNER)
- **Authorized official phone:** (432) 620-8888

## Contact information

- **Practice address:** 2407 W LOUISIANA AVE, SUITE 101, MIDLAND, TX 79701-5807
- **Practice address phone:** (432) 620-8888
- **Practice address fax:** (432) 620-8187
- **Mailing address:** 2407 W LOUISIANA AVE, SUITE 101, MIDLAND, TX 79701-5807
- **Mailing address phone:** (432) 620-8888
- **Mailing address fax:** (432) 620-8187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | J7460 | TX | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020
