DR. CARLOS G FASOLA M.D. NPI 1740463090

NPI Information

DR. Carlos G Fasola, M.D. is a transplant surgery in Dallas, TX with 48 years of experience. The provider is definition to come. DR. Carlos G Fasola, M.D. NPI is 1740463090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1411 N BECKLEY AVE
PAV III STE#268
DALLAS, TX
ZIP 75203-259
Phone: (214) 947-4400
Fax: (214) 947-4404

The NPI 1740463090 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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