Individual
CARLOS G CIGARROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 E CALTON RD, SUITE 101, LAREDO, TX 78041-3988
(956) 728-8255
(956) 728-0400
Mailing address
PO BOX 451428, LAREDO, TX 78045-0035
(956) 728-8255
(956) 728-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J1212
TX
246W00000X
Cardiology Technician
J1212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039HX
BLUE CROSS BLUE SHIELD
TX
05
—
133675208
—
TX
Enumeration date
09/11/2006
Last updated
12/19/2011
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