Carlos M Vides Jr., M.D.
Pediatrics in Covington, LA. Individual provider (NPI-1).
NPI number1245308311
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245308311
- Entity type
- Individual (NPI-1)
- Name
- Carlos M Vides Jr.
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 10766R | LA | Yes |
Practice location
4405 Highway 190 East Service RdCovington, LA 70433-4957
Phone 985-893-8505 · Fax 985-893-0093
Mailing address
4405 Highway 190 East Service RdCovington, LA 70433-4957
Phone 985-893-8505 · Fax 985-893-0093
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