Provider Demographics
NPI:1497884316
Name:PUIG, CARLOS J (DO)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:J
Last Name:PUIG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23501 CINCO RANCH BLVD
Mailing Address - Street 2:SUITE G205
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3095
Mailing Address - Country:US
Mailing Address - Phone:281-347-4247
Mailing Address - Fax:281-347-4250
Practice Address - Street 1:23501 CINCO RANCH BLVD
Practice Address - Street 2:SUITE G205
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3095
Practice Address - Country:US
Practice Address - Phone:281-347-4247
Practice Address - Fax:281-347-4250
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9339208600000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine