Jesurun, Carlos A.

Jesurun, Carlos A. is an individual health care provider with primary practice located at 4800 Alberta Ave , El Paso TX 79905-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Jesurun, Carlos A. can be contacted via phone (915) 545-6817.

Contact Information

Primary practice address
4800 Alberta Ave El Paso TX 79905-2709
Phone: (915) 545-6817
Fax: (915) 545-9799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E1877 Texas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X E1877 Texas

Profile Details

NPI number 1841303427
LBN Legal business name Jesurun, Carlos A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 17th, 2008 - about 16 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 1841303427 NPPES
Texas MEDICAID 135094406

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