Provider Demographics
NPI:1962497396
Name:CUNADO, CARLOS DOMINGO (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:DOMINGO
Last Name:CUNADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 HOSPITAL DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4664
Mailing Address - Country:US
Mailing Address - Phone:409-833-7005
Mailing Address - Fax:409-833-7393
Practice Address - Street 1:740 HOSPITAL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4664
Practice Address - Country:US
Practice Address - Phone:409-833-7005
Practice Address - Fax:409-833-7393
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6556174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00686QMedicare ID - Type Unspecified
TXG80327Medicare UPIN