Individual
CARLOS VIESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N MESA ST, EL PASO, TX 79902-4008
(915) 857-4130
(915) 857-4135
Mailing address
1000 N MESA ST, EL PASO, TX 79902-4008
(915) 857-4130
(915) 857-4135
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
L5602
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
L5602
TX
208VP0000X
Pain Medicine Physician
L5602
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L5602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153972804
—
TX
Enumeration date
01/19/2006
Last updated
06/27/2024
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