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NPI Code Detail

MEDICARE: DR. CARLOS RAUL BARCELO M.D.

MEDICARE: DR. CARLOS RAUL BARCELO M.D.
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
12086S0122XPlastic and Reconstructive Surgery PhysicianM2551TX

General Provider Information

NPI Number : 1447233523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS RAUL BARCELO M.D.
Provider Business Mailing Address
First Line : 7777 FOREST LN STE C528
Second Line :
City : DALLAS
State : TX
Zip : 75230-6848
Country : US
Telephone Number : 972-331-1900
Fax Number : 972-331-1909
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE C528
Second Line :
City : DALLAS
State : TX
Zip : 75230-6848
Country : US
Telephone Number : 972-331-1900
Fax Number : 972-331-1909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 04/16/2021

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