Organization
CARBONELL MEDICAL CLINIC MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS D. CARBONELL M.D. (PHYSICIAN)
(210) 433-6452
Entity
Organization
Contact information
Practice address
426 CASTROVILLE RD., STE. 3, SAN ANTONIO, TX 78207-5169
(210) 433-6452
(210) 433-6452
Mailing address
426 CASTROVILLE RD., STE. 3, SAN ANTONIO, TX 78207-5169
(210) 433-6452
(210) 433-6452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D6974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035092801
—
TX
Enumeration date
07/13/2011
Last updated
07/13/2011
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