Individual
CARLOS BARRERA EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
917 S. PORT AVE., CORPUS CHRISTI, TX 78405
(361) 887-0584
(361) 887-0586
Mailing address
917 S. PORT, CORPUS CHRISTI, TX 78405
(361) 887-0584
(361) 887-0586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G3339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121485003
—
TX
Enumeration date
10/06/2006
Last updated
07/08/2007
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