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Individual

CARLOS A PLATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1215 S COULTER ST, SUITE 401, AMARILLO, TX 79106-1758
(806) 356-2280
Mailing address
1215 S COULTER ST, SUITE 401, AMARILLO, TX 79106-1758
(806) 356-2280

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H8801
TX
207RR0500X
Rheumatology Physician
Primary
H8801
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0046CJ
BLUECROSS AND BLUESHIELD
TX
01
P00062220
MEDICARE RAILROAD
TX
Enumeration date
08/01/2006
Last updated
08/20/2007
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