Individual
CARL L. TOMMASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036057211
IL
207RC0000X
Cardiovascular Disease Physician
036057211
IL
207RI0011X
Interventional Cardiology Physician
036057211
IL
207RI0011X
Interventional Cardiology Physician
Primary
S8499
TX
Other
Enumeration date
07/16/2006
Last updated
06/02/2022
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