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General NPI Number Information
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NPI Number | 1598953515
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Entity Type | Organization
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Legal Business Name | CARLOS M LLANES, MD
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 1519 E BUSTAMANTE ST STE E
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City | LAREDO
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State | TX
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Zip | 78041-5305
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Country | US
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Telephone | 956-795-4770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2926
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City | LAREDO
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State | TX
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Zip | 78044-2926
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Country | US
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Telephone | 956-795-4770
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. CARLOS M LLANES
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Credential | MD
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Telephone | 956-795-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | H4019
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License Number State | TX
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