Provider Demographics
NPI:1295158293
Name:LARGENTA CONSULTANTS PA
Entity type:Organization
Organization Name:LARGENTA CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-858-4028
Mailing Address - Street 1:9889 BELLAIRE BLVD
Mailing Address - Street 2:124
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3463
Mailing Address - Country:US
Mailing Address - Phone:281-501-9847
Mailing Address - Fax:281-501-9854
Practice Address - Street 1:9889 BELLAIRE BLVD
Practice Address - Street 2:124
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3463
Practice Address - Country:US
Practice Address - Phone:281-501-9847
Practice Address - Fax:281-501-9854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0289261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty