Organization
CARLOS R PONCE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS R PONCE MD (PRESIDENT)
(956) 542-1531
Entity
Organization
Contact information
Practice address
5700 N EXPRESSWAY, STE 303, BROWNSVILLE, TX 78526-4353
(956) 542-1531
(956) 542-0028
Mailing address
5700 N EXPRESSWAY, STE 303, BROWNSVILLE, TX 78526-4353
(956) 542-1531
(956) 542-0028
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M5886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195627801
—
TX
Enumeration date
05/01/2008
Last updated
03/16/2017
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