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NPI Code Detail

MEDICARE: CARLOS PIRELA NP

MEDICARE:   CARLOS  PIRELA  NP
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
1363AS0400XSurgical Physician AssistantSA00640TX
2363LF0000XFamily Nurse Practitioner1145268TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SA00640OTHERTXLICENSE SURGICAL ASSISTANT

General Provider Information

NPI Number : 1780077057
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS PIRELA NP
Provider Business Mailing Address
First Line : 11003 NORTHPOINTE BLVD STE G
Second Line :
City : TOMBALL
State : TX
Zip : 77375-2384
Country : US
Telephone Number : 832-542-6872
Fax Number :
Provider Business Practice Location Address
First Line : 17731 WHITE LIGHTNING WAY
Second Line :
City : SPRING
State : TX
Zip : 77379-1637
Country : US
Telephone Number : 713-485-9246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2015
Last Update Date : 06/03/2026

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