Macias, Carlos L

Macias, Carlos L is an individual health care provider with primary practice located at 1325 Pennsylvania Ave Ste 550 , Fort Worth TX 76104-2148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Macias, Carlos L can be contacted via phone (817) 250-7190.

Contact Information

Primary practice address
1325 Pennsylvania Ave Ste 550 Fort Worth TX 76104-2148
Phone: (817) 250-7190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X J2172 Texas

Profile Details

NPI number 1063476877
LBN Legal business name Macias, Carlos L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Oct 9th, 2024 - about 2 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 1063476877 NPPES
Texas MEDICAID 105424901
Texas Other 8HT407

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