Individual
CARLOS MAURICIO LLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1519 E BUSTAMANTE ST, SUITE E, LAREDO, TX 78041-5305
(956) 795-4770
(956) 795-4773
Mailing address
PO BOX 2926, LAREDO, TX 78044-2926
(956) 795-4770
(956) 795-4773
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
H4019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139535218
—
TX
Enumeration date
09/14/2005
Last updated
11/05/2009
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