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Individual

CARLOS MONGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 783-0884
Mailing address
619 BRIAR OAK ST, SAN ANTONIO, TX 78216-3006
(210) 709-6817

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TX

Other

Enumeration date
06/05/2026
Last updated
06/05/2026
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