Individual
DR. CARLOS X PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 277-2000
(336) 277-2050
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2021-01859
NC
207RC0000X
Cardiovascular Disease Physician
J8088
TX
207RI0011X
Interventional Cardiology Physician
2021-01859
NC
207RI0011X
Interventional Cardiology Physician
J8088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037879602
—
TX
01
—
060036091
MEDICARE RAILROAD
TX
01
—
80E929
BCBS
TX
Enumeration date
06/14/2005
Last updated
01/20/2022
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