Healthcare Provider Details

I. General information

NPI: 1255388203
Provider Name (Legal Business Name): CARLOS FRANCISCO TIRADO MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 W 34TH ST STE 301
AUSTIN TX
78705-1217
US

IV. Provider business mailing address

630 W 34TH ST STE 301
AUSTIN TX
78705-1217
US

V. Phone/Fax

Practice location:
  • Phone: 512-212-4670
  • Fax: 512-233-5830
Mailing address:
  • Phone: 512-212-4670
  • Fax: 512-233-5830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberL2699
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberL2699
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: