Individual
DR. CARLOS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2405 CORNERSTONE BLVD, EDINBURG, TX 78539
(956) 627-3556
(956) 627-3762
Mailing address
2405 CORNERSTONE BLVD, EDINBURG, TX 78539
(956) 627-3556
(956) 627-3762
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110769015
—
TX
01
—
110769017
CSHCN
—
01
—
TX1107690016
MEDICAID DENTAL
—
01
—
X0100636
DPS
—
Enumeration date
05/27/2005
Last updated
03/07/2023
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