Individual
EDGAR CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2426 W KIEST BLVD, DALLAS, TX 75233-2306
(972) 878-5968
Mailing address
PO BOX 210151, DALLAS, TX 75211-0151
(972) 788-5968
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
80571
TX
Other
Enumeration date
08/06/2018
Last updated
09/02/2023
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