CARLOS R PONCE MD PA
Osteopathic Medicine at Expy, Brownsville, TX

License number
Texas M5886
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. CARLOS R PONCE MD
Title: PRESIDENT
Phone: (956) 542-1531
Address
Address
5700 Expressway N STE 303, Brownsville, TX 78526
National Provider ID: 1780850693
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CARLOS R. PONCE, M.D., PA

Brownsville, TX

Doing business as:
Carlos R. Ponce, M.D., PA
Registration:
Aug 29, 2006
Addresses:
5700 N Expy STE 303, Brownsville, TX 78526 (Mailing)
2449 Boca Chica Blvd, Brownsville, TX 78521
State ID:
0800701723
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member, Vice-President:
Carlos R. Ponce (President, Treasurer, Secretary, Director, Member, Vice-President)
Agent:
Carlos R Ponce,5700 N Expy SUITE 303, Brownsville, TX 78526 (Physical)
TIN:
32035125221

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