Individual
CARLOS A REGALADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 E GRIFFIN PKWY STE 1, MISSION, TX 78572-3072
(956) 424-3116
(956) 424-3133
Mailing address
108 E. ZENAIDA AVE, MCALLEN, TX 78504-1621
(956) 424-3116
(956) 424-3133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061117011
—
TX
01
—
J8103
MEDICAL LICENSE
TX
Enumeration date
07/14/2006
Last updated
09/16/2011
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