Provider Demographics
NPI:1417007824
Name:A F CARRO PA
Entity Type:Organization
Organization Name:A F CARRO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARRO
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:316-684-5257
Mailing Address - Street 1:3122 N CYPRESS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-4014
Mailing Address - Country:US
Mailing Address - Phone:316-684-5257
Mailing Address - Fax:316-684-9369
Practice Address - Street 1:3122 N CYPRESS DR STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4014
Practice Address - Country:US
Practice Address - Phone:316-684-5257
Practice Address - Fax:316-684-9369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-21106207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110200Medicare ID - Type UnspecifiedGROUP NUMBER