Individual
MIGUEL CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
3400 WATERVIEW PKWY STE 305, RICHARDSON, TX 75080-1472
(214) 295-6703
(214) 245-5267
Mailing address
3400 WATERVIEW PKWY STE 305, RICHARDSON, TX 75080-1472
(214) 295-6703
(214) 245-5267
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
3108
TX
Other
Enumeration date
05/06/2015
Last updated
07/21/2022
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