Organization · NPI-2

Carlos. N. Hornedo III, D.O. PA

Family Medicine · Laredo, TX

NPI number1164544805
StatusActive
Last updated in NPPESAug 30, 2018

Details

NPI
1164544805
Entity type
Organization (NPI-2)
Legal business name
Carlos. N. Hornedo III, D.O. PA
Organization subpart
No
Enumeration date
Apr 4, 2007
Last updated
Aug 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineK3242TXYes
261Q00000X Clinic/Centerk3242TX

Practice location

1203 Welby Court Ste 1
Laredo, TX 78041

Phone 956-794-8840 · Fax 956-794-8844

Mailing address

1203 Welby Court Ste 1
Laredo, TX 78041

Phone 956-794-8840 · Fax 956-794-8844

Authorized official

Raquel Marquez
Office Manager
9567948840

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