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Organization
MANUEL R. CARRASCO,MD,PA
Active
Organization
MANUEL R. CARRASCO,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL R CARRASCO M.D. (PRESIDENT)
(432) 714-4500
Entity
Organization
Contact information
Practice address
1501 W 11TH PL, SUITE 302, BIG SPRING, TX 79720-4119
(432) 714-4500
Mailing address
1501 W 11TH PL, SUITE 302, BIG SPRING, TX 79720-4119
(432) 714-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J5275
TX
Other
Enumeration date
11/09/2006
Last updated
10/16/2007
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