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Contact Information

CARLOS A TABOADA, MD
3705 W 15TH ST
PLANO, TX75075-7753
 Phone: 972-867-3577
 Fax: 972-985-9433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CARLOS A TABOADA · (Male)

NPI # 1174565089
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2006
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L7575
  • TX Medicaid 174440101
  • TX Medicaid 174440103
  • TX Other 8S7055 BLUE CROSS OF TEXAS
Hospital affiliation(s)
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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