Provider Demographics
NPI:1396902391
Name:GEIGEL, CARLOS O (MD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:O
Last Name:GEIGEL
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 1:301 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:TX
Mailing Address - Zip Code:79045-5517
Mailing Address - Country:US
Mailing Address - Phone:806-364-2141
Mailing Address - Fax:806-349-9387
Practice Address - Street 1:301 E 3RD ST
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:TX
Practice Address - Zip Code:79045-5517
Practice Address - Country:US
Practice Address - Phone:806-364-2141
Practice Address - Fax:806-349-9387
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127990208600000X, 207P00000X
TXN0780208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice