Individual
DR. CARLOS ROBERTO PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 N EXPRESSWAY, #303, BROWNSVILLE, TX 78526-4310
(956) 542-1531
(956) 542-0028
Mailing address
5700 N EXPRESSWAY, #303, BROWNSVILLE, TX 78526-4353
(956) 542-1531
(956) 542-0028
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
051371
GA
207RG0100X
Gastroenterology Physician
Primary
M5886
TX
207RI0008X
Hepatology Physician
M5886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191309701
—
TX
05
—
191309702
—
TX
Enumeration date
12/26/2006
Last updated
03/16/2017
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