Individual
DR. CARLOS MICHAEL JAQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(173) 798-1000
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
U6733
TX
Other
Enumeration date
03/22/2021
Last updated
10/20/2025
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