De La Garza, Carlos

De La Garza, Carlos is an individual health care provider with primary practice located at 2412 Wilkins Dr , Sanford NC 27330-7268. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. De La Garza, Carlos can be contacted via phone (919) 776-6000.

Contact Information

Primary practice address
2412 Wilkins Dr Sanford NC 27330-7268
Phone: (919) 776-6000
Fax: (919) 776-0130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 28019 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8428019 North Carolina

Profile Details

NPI number 1225017122
LBN Legal business name De La Garza, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated May 11th, 2018 - about 7 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 1225017122 NPPES
North Carolina MEDICAID 1225017122

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