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Individual
DR. CARLOS G PAXTOR
Active
Individual
DR. CARLOS G PAXTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29124
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL29124
STATE LICENSE
SC
Enumeration date
07/27/2006
Last updated
03/07/2023
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