Individual
CARL P FASTABEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
U2699
TX
207RC0000X
Cardiovascular Disease Physician
Primary
U2699
TX
Other
Enumeration date
02/25/2006
Last updated
03/06/2025
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