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Individual

MR. ANTONIO CARMONA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSTFA

Contact information

Practice address
3114 ORANGE ST, AMARILLO, TX 79107-1810
(806) 206-6161
Mailing address
3114 ORANGE ST, AMARILLO, TX 79107-1810
(806) 206-6161

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
190498
TX

Other

Enumeration date
04/10/2022
Last updated
04/11/2022
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