Organization
CARLOS A REGALADO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A REGALADO M.D. (DIRECTOR)
(956) 424-3116
Entity
Organization
Contact information
Practice address
2121 E GRIFFIN PKWY, SUITE 1, MISSION, TX 78572-3241
(956) 424-3116
(956) 424-3133
Mailing address
2121 E GRIFFIN PKWY, SUITE 1, MISSION, TX 78572-3241
(956) 424-3116
(956) 424-3133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164168001
—
TX
01
—
164168002
SUBMITTER TPI NUMBER
TX
Enumeration date
04/28/2006
Last updated
09/01/2011
Update your record
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