Individual
DR. MICHELA CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 N GALLOWAY AVE, MESQUITE, TX 75150-1516
(972) 686-6411
(972) 686-0594
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
K8721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105721801
—
TX
05
—
105721802
—
TX
05
—
105721803
—
TX
05
—
105721804
—
TX
05
—
105721805
—
TX
01
—
8R1405
BLUE CROSS OF TEXAS
TX
Enumeration date
06/03/2006
Last updated
04/10/2017
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