Individual
CARLOS ALFONSO CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 MURCHISON DR, EL PASO, TX 79902-2931
(155) 337-4659
(915) 534-1185
Mailing address
1700 MURCHISON DR, EL PASO, TX 79902-2931
(915) 533-7465
(915) 534-1185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29949
TX
Other
Enumeration date
04/11/2019
Last updated
05/17/2019
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