Dimidjian, Carlos A

Dimidjian, Carlos A is an sole proprietor health care provider with primary practice located at 1608 W Fm 700 Ste B, Big Spring TX 79720. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Dimidjian, Carlos A can be contacted via phone (432) 267-1441.

Contact Information

Primary practice address
1608 W Fm 700 Ste B Big Spring TX 79720
Fax: (432) 267-1442
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0935 Texas

Profile Details

NPI number 1033197405
LBN Legal business name Dimidjian, Carlos A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Feb 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033197405 NPPES
Texas MEDICAID 110214703

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