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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
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