CARBONELL MEDICAL CLINIC MD PA
Osteopathic Medicine in San Antonio, TX

License number
Texas D6974
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. CARLOS D. CARBONELL M.D.
Title: PHYSICIAN
Phone: (210) 433-6452
Address
Address
426 Castroville Rd. STE. 3, San Antonio, TX 78207
National Provider ID: 1043508914
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CARBONELL MEDICAL CLINIC, M.D., PA

510 Cupples Rd, San Antonio, TX 78237

Status:
Inactive
Doing business as:
Carbonell Medical Clinic, M.D., PA
Registration:
Dec 9, 2003
State ID:
0800277530
Business type:
Professional Association
President , Director , Member:
Carlos D. Carbonell President , Director , Member, inactive
Agent:
Ida Gomez-Montalvo,510 Cupples Rd, San Antonio, TX 78237 (Physical)
TIN:
32035683443

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