Individual
BERNARDO CARPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 N CAGE BLVD, PHARR, TX 78577-3117
(956) 283-1889
(956) 283-7014
Mailing address
807 N. CAGE, PHARR, TX 78577
(956) 283-1889
(956) 283-7014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TX PENDING
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280058301
—
TX
01
—
280058302
MEDICAID CSHCN
TX
01
—
742039068
JUAN AGUILERA AND ASSOC GROUP TAX ID
TX
01
—
N8496
MD LIC #
TX
Enumeration date
01/21/2011
Last updated
05/13/2013
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