Organization
RICARDO CARRANZA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO A CARRANZA MD (AUTHORIZED REPRESENTATIVE/OWNER)
(972) 488-8926
Entity
Organization
Contact information
Practice address
6757 ARAPAHO RD, SUITE 711 PMB 335, DALLAS, TX 75248-4005
(972) 488-8926
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P0180
TX
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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