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NPI Code Detail

MEDICARE: DR. CARLOS EFRAIN ANGUEIRA MD

MEDICARE:  DR. CARLOS EFRAIN ANGUEIRA  MD
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
1207RG0100XGastroenterology PhysicianH6763TX

General Provider Information

NPI Number : 1639168057
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS EFRAIN ANGUEIRA MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-4822
Fax Number :
Provider Business Practice Location Address
First Line : 3851 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4501
Country : US
Telephone Number : 210-916-4822
Fax Number : 210-916-3195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 01/22/2020

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Directions to “ DR. CARLOS EFRAIN ANGUEIRA MD” Practice Location

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