MEDICARE: CARLOS MURILLO MD PA

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
1	208200000X	Plastic Surgery Physician	M6787	TX

General Provider Information

NPI Number	:	1477828077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLOS MURILLO MD PA

Provider Business Mailing Address
First Line	:	PO BOX 1019
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77402-1019
Country	:	US
Telephone Number	:	832-582-8114
Fax Number	:	832-830-8927

Provider Business Practice Location Address
First Line	:	7400 FANNIN ST STE 1160
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1949
Country	:	US
Telephone Number	:	832-582-8114
Fax Number	:	832-830-8927

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARLOS MURILLO
Credential	:	M.D.
Telephone Number	:	915-799-3322

Provider Enumeration Date	:	03/14/2012
Last Update Date	:	08/26/2025

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