Individual
CARLOS A DIMIDJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1608 W FM 700, STE B, BIG SPRING, TX 79720
(432) 267-1441
(432) 267-1442
Mailing address
1608 W FM 700, STE B, BIG SPRING, TX 79720
(432) 267-1441
(432) 267-1442
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110214703
—
TX
Enumeration date
01/05/2006
Last updated
02/03/2015
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