Individual
CARLOS P CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
3322 COLORADO BLVD, SUITE 101, DENTON, TX 76210-6888
(940) 387-7588
(940) 566-0881
Mailing address
3322 COLORADO BLVD, SUITE 101, DENTON, TX 76210-6888
(940) 387-7588
(940) 566-0881
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
L8024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164196101
—
TX
01
—
8K7640
BLUE CROSS OF TEXAS
TX
Enumeration date
07/25/2006
Last updated
01/25/2022
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