Organization
CARLOS A DIMIDJIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A DIMIDJIAN DPM (OWNER)
(432) 267-1441
Entity
Organization
Contact information
Practice address
1608 W FM 700, STE B, BIG SPRING, TX 79720-4113
(432) 267-1441
(432) 267-1442
Mailing address
1608 W FM 700, STE B, BIG SPRING, TX 79720-4113
(432) 267-1441
(432) 267-1442
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
TX0935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110214703
—
TX
Enumeration date
02/01/2008
Last updated
06/09/2008
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