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NPI Code Detail

MEDICARE: DR. CARLOS A SIERRA D.D.S.,MS.

MEDICARE: DR. CARLOS A SIERRA D.D.S.,MS.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry22380TX

General Provider Information

NPI Number : 1447418223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS A SIERRA D.D.S.,MS.
Provider Business Mailing Address
First Line : 900 BROADWAY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77012-2127
Country : US
Telephone Number : 713-928-3311
Fax Number :
Provider Business Practice Location Address
First Line : 900 BROADWAY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77012-2127
Country : US
Telephone Number : 713-928-3311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2008
Last Update Date : 06/05/2017

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