=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497884316
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CARLOS J PUIG DO
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2007
-----------------------------------------------------
Last Update Date | 09/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5373 W ALABAMA ST STE 350
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77056-5998
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-974-1810
-----------------------------------------------------
Fax | 713-974-1811
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5373 W ALABAMA ST STE 350
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77056-5998
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-974-1810
-----------------------------------------------------
Fax | 713-974-1811
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number | E9339
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | E9339
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------