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General NPI Number Information
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NPI Number | 1477828077
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Entity Type | Organization
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Legal Business Name | CARLOS MURILLO MD PA
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 7400 FANNIN ST STE 1160
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City | HOUSTON
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State | TX
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Zip | 77054-1949
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Country | US
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Telephone | 832-582-8114
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Fax | 832-830-8927
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Provider Business Mailing Address
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Address Line | PO BOX 1019
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City | BELLAIRE
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State | TX
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Zip | 77402-1019
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Country | US
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Telephone | 832-582-8114
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Fax | 832-830-8927
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS MURILLO
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Credential | M.D.
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Telephone | 915-799-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | M6787
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License Number State | TX
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