Individual
DR. CARLOS JAVIER PACHECO AGOSTO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
V5025
TX
207RN0300X
Nephrology Physician
Primary
V5025
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2019
Last updated
07/09/2025
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