Individual
CONNIE CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
200 W EXPRESSWAY 83, STE. B, SAN JUAN, TX 78589-3641
(956) 781-5415
(956) 781-5415
Mailing address
200 W EXPRESSWAY 83, STE. B, SAN JUAN, TX 78589-3641
(956) 781-5415
(956) 781-5415
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
96120
TX
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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