Individual
CARLOS PIRELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15814 CHAMPION FOREST DR, PMB 320, SPRING, TX 77379-7141
(281) 653-2924
(832) 478-9266
Mailing address
15814 CHAMPION FOREST DR, PMB 320, SPRING, TX 77379-7141
(281) 653-2924
(832) 478-9266
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00640
LICENSE SURGICAL ASSISTANT
TX
Enumeration date
03/11/2015
Last updated
03/26/2018
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