CARSON T. LO MD PA
Osteopathic Medicine at Grand Pkwy, Katy, TX

License number
Texas K0112
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: DR. CARSON TAN LO MD
Title: PRESIDENT
Phone: (281) 599-3222
Address
Address 2
1331 W Grand Pkwy N SUITE 310, Katy, TX 77493
PO Box 19814, Houston, TX 77224
National Provider ID: 1710045554
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CARSON T. LO, M.D., PA

1331 W Grand Pkwy N STE 310, Katy, TX 77493

Industry:
Medical Doctor's Office
Registration:
Aug 6, 2002
State ID:
0800109201
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
Carson T. Lo (President , Treasurer , Director , Member , Secretary , Vice-President)
Agent:
Carson Lo,1331 W Grand Pkwy N SUITE 310, Katy, TX 77493 (Physical)
TIN:
32035872806

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