Healthcare Provider Details

I. General information

NPI: 1548585037
Provider Name (Legal Business Name): CARIALEX TEXAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 04/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 S. SUGAR RD. SUITE 213
EDINBURG TX
78539
US

IV. Provider business mailing address

4302 S SUGAR RD SUITE 213
EDINBURG TX
78539-7073
US

V. Phone/Fax

Practice location:
  • Phone: 787-306-7821
  • Fax:
Mailing address:
  • Phone: 956-383-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberN3651
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberN3651
License Number StateTX

VIII. Authorized Official

Name: LUIS ALEXANDER FRIAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 956-383-5700