Cruz, Carlos
Cruz, Carlos is an sole proprietor health care provider with primary practice located at 2405 Cornerstone Blvd , Edinburg TX 78539. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cruz, Carlos can be contacted via phone (956) 627-3556.Contact Information
Primary practice address
2405 Cornerstone Blvd
Edinburg TX 78539
Phone: (956) 627-3556
Fax: (956) 627-3762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 18868 | Texas |
Profile Details
| NPI number | 1639172109 |
|---|---|
| LBN Legal business name | Cruz, Carlos |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639172109 | NPPES |
| Other | TX1107690016 | MEDICAID DENTAL | |
| Other | 110769017 | MEDICAID DENTAL | |
| MEDICAID | 110769015 | MEDICAID DENTAL | |
| Other | X0100636 | MEDICAID DENTAL |
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