Provider Demographics
NPI:1497882518
Name:MOHAMED, CARLOS NASSER (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:NASSER
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5408 N CYNTHIA ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2223
Mailing Address - Country:US
Mailing Address - Phone:210-393-4656
Mailing Address - Fax:
Practice Address - Street 1:6800 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3293
Practice Address - Country:US
Practice Address - Phone:956-664-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222261223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry