Individual
DR. CARLOS VENCES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 TAUB LOOP, EMERGENCY CENTER, HOUSTON, TX 77030-1608
(713) 873-7045
Mailing address
1504 TAUB LOOP, EMERGENCY CENTER, HOUSTON, TX 77030-1608
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BP10052957
TX
207P00000X
Emergency Medicine Physician
Primary
R1667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38652308
—
TX
01
—
38652309
MEDICAID-CSHCN
TX
01
—
Q00057501
RAILROAD MEDICARE
TX
Enumeration date
06/03/2015
Last updated
04/16/2021
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