DOLORES CRISTINA MEDINA CARBONELL


Address: 6641 High Star, Houston, TX 77074-5005
Phone: 8325485000

DOLORES CRISTINA MEDINA CARBONELL (NPI# 1083969182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083969182
Entity Type Individual
Full Name DOLORES CRISTINA MEDINA CARBONELL
Credential M.D
Practice Address 6641 High Star
Houston
TX 77074-5005
Mailing Address Po Box 66308
Houston
TX 77266-6308
Practice Telephone 8325485000
Mailing Telephone 8325485000
Enumeration Date 2012-07-16
Last Update Date 2016-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Q2464 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LCHS HIGH STAR SITE LOCATION MEDICARE # 671985 01
TX 080462703 05

Office Location

Street Address 6641 HIGH STAR
City HOUSTON
State TX
Zip Code 77074-5005

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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

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1972071207 Peekaboo Pediatrics Pediatrics 1740 W 27th St Ste 305, Houston, TX 77008-1437 2018-11-05
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Competitor

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City HOUSTON
Zip Code 77074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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