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NPI Code Detail

MEDICARE: CARLOS BRAVO

MEDICARE: CARLOS BRAVO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker899TX

General Provider Information

NPI Number : 1285443945
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS BRAVO
Provider Business Mailing Address
First Line : 1111 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6925
Country : US
Telephone Number : 713-439-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1111 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6925
Country : US
Telephone Number : 713-469-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2025
Last Update Date : 01/06/2025

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Directions to “ CARLOS BRAVO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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