Provider Demographics
NPI:1003254186
Name:BRAVO CARRILLO, CLAUDIO ANDRES (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIO
Middle Name:ANDRES
Last Name:BRAVO CARRILLO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11970 N CENTRAL EXPY STE 340
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3787
Mailing Address - Country:US
Mailing Address - Phone:972-940-9520
Mailing Address - Fax:972-940-9535
Practice Address - Street 1:11970 N CENTRAL EXPY STE 340
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3787
Practice Address - Country:US
Practice Address - Phone:972-940-9520
Practice Address - Fax:972-940-9535
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2024-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD61040173207RC0000X
TXU6120207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease