Individual
MR. CARLOS DESIR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4800 ALBERTA AVE, STE. 101, EL PASO, TX 79905-2709
(915) 545-6550
(915) 545-6984
Mailing address
1108 CERRITO BAJO LN, EL PASO, TX 79912-2055
(915) 526-6280
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024178638
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
715008
TX
367500000X
Certified Registered Nurse Anesthetist
APRN11014152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178511501
—
TX
05
—
455050056
—
FL
01
—
85416U
BCBS
TX
Enumeration date
07/01/2006
Last updated
05/11/2023
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