Provider Demographics
NPI:1073727442
Name:CARRENO, CARLA GARCIA (MD)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:GARCIA
Last Name:CARRENO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:GABRIELA
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4014 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1645
Mailing Address - Country:US
Mailing Address - Phone:214-855-8510
Mailing Address - Fax:214-340-1694
Practice Address - Street 1:4014 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1645
Practice Address - Country:US
Practice Address - Phone:214-340-3513
Practice Address - Fax:214-340-1694
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN50662080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases