DR. CARLOS G FASOLA


Address: 1411 N Beckley Ave, Pav IIi Ste#268, Dallas, TX 75203-1259
Phone: 2149474400

DR. CARLOS G FASOLA (NPI# 1740463090) 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) 1740463090
Entity Type Individual
Full Name DR. CARLOS G FASOLA
Credential M.D.
Practice Address 1411 N Beckley Ave
Pav IIi Ste#268
Dallas
TX 75203-1259
Practice Telephone 2149474400
Practice Fax Number 2149474404
Mailing Telephone 2149474400
Mailing Fax Number 2149474404
Enumeration Date 2007-12-10
Last Update Date 2012-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204F00000X Transplant Surgery K7283 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 040635703 05
TX 040635704 05
TX BLUE CROSS 8DL222 01

Office Location

Street Address 1411 N BECKLEY AVE
PAV III STE#268
City DALLAS
State TX
Zip Code 75203-1259

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760481246 Sarah Lynn Helfand Pediatrics 1411 N Beckley Ave, Suite 164, Dallas, TX 75203-1259 2005-07-18
1003321936 Kathleen Ubina Pharmacist 1411 N Beckley Ave, Dallas, TX 75203-1259 2017-12-14
1245743624 Whitney Lee Mcclung Nurse Practitioner 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203 2017-11-08
1780116129 Kylie Rhea Rutherford Physician Assistant 1411 N Beckley Ave, Pavillion IIi, Suite 152, Dallas, TX 75203-1259 2017-04-03
1437695863 Lisa Montgomery Nurse Practitioner 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 2017-01-09
1477916922 Jillian Robinson Physician Assistant 1411 N Beckley Ave, Suite 363, Dallas, TX 75203-1259 2016-04-01
1720445638 Head & Neck Surgery of North Texas Pllc Oral & Maxillofacial Surgery 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 2016-01-22
1316322423 Kelley Lynn Hanna Nurse Practitioner 1411 N Beckley Ave, Pavillion 3 Ste 152, Dallas, TX 75203-1259 2015-07-30
1063896520 Pinnacle Anesthesia Consultants, Pllc Anesthesiology 1411 N Beckley Ave, Pav. IIi, Suite 152, Dallas, TX 75203-1259 2015-07-15
1306228291 Sarah Breanne Smith Nurse Practitioner 1411 N Beckley Ave, Pav IIi Ste#152, Dallas, TX 75203 2015-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386264125 Dylan Lopez Internal Medicine Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 2020-04-22
1902303183 Sarah Mcferon Nurse Practitioner 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 2018-04-12
1659727030 Kathy Lightsey Counselor 1836 Berwick Ave, Dall, TX 75203 2016-05-04
1659712453 Maura M Mcglynn Occupational Therapist 1520 North Beckley Ave 1033, Dallas, TX 75203 2013-07-10
1093153454 Adrienne Workman Internal Medicine 1441 North Beckley Avenue, Dallas, TX 75203 2013-06-07
1851642490 April Rebecca Meras Nurse Practitioner 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 2012-09-22
1699081612 East Run Management, Ltd. Company Alzheimer Center (Dementia Center) 2653 Cedar Crest Blvd, Dallas, TX 75203 2010-08-27
1538471305 Preetivi Ellis Internal Medicine 1441 N Beckley Ave Fl 4, Dallas, TX 75203 2010-07-09
1306085378 Maggie Fardella Counselor 201 E 9th St, Dallas, TX 75203 2009-02-13
1811159122 Maryam Raza Md Pa Internal Medicine 1441 N. Beckley, Dallas, TX 75203 2008-06-27
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Taxonomy Information

Taxonomy Code 204F00000X
Grouping Allopathic & Osteopathic Physicians
Classification Transplant Surgery

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912408170 Liza Johannesson Transplant Surgery Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 2018-02-23
1043462609 Aldo Elmer Rafael Yarihuaman Transplant Surgery 621 N Hall St Ste 120, Dallas, TX 75226-1307 2008-10-15
1235393208 Tiffany L Anthony Transplant Surgery 7777 Forest Ln Ste B446, Dallas, TX 75230 2008-07-17
1699805911 Steven I. Hanish Transplant Surgery 5939 Harry Hines Blvd Ste 700, Dallas, TX 75235-6243 2007-03-06
1376626523 Dev M. Desai Transplant Surgery Dept of Surgical Transplantation, 5939 Harry Hines Blvd, Dallas, TX 75390-8567 2006-10-23
1457441073 Jason Joel Schwartz Transplant Surgery 5939 Harry Hines Boulevard, Hq7.700, Dallas, TX 75390-9258 2006-10-13
1346288925 Blood and Marrow Transplant Services Transplant Surgery 3410 Worth Street, Ste 300, Dallas, TX 75246 2006-06-03
1699389841 Bsw Transplant Services Pllc Transplant Surgery 301 N Washington Ave, Dallas, TX 75246-1754 2020-09-04
1093070294 Eric Javier Martinez Transplant Surgery 3410 Worth St Ste 950, Dallas, TX 75246-2064 2012-07-12
1912297961 Anji Elizabeth Wall Transplant Surgery 3410 Worth St Ste 950, Dallas, TX 75246 2011-04-12
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75203

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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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