Provider Demographics
NPI:1669586392
Name:CARLOS H. LOUBRIEL M.D., P.A.
Entity type:Organization
Organization Name:CARLOS H. LOUBRIEL M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:H
Authorized Official - Last Name:LOUBRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-759-8555
Mailing Address - Street 1:5959 GATEWAY BLVD W
Mailing Address - Street 2:STE. 120
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3331
Mailing Address - Country:US
Mailing Address - Phone:915-779-1716
Mailing Address - Fax:915-771-6558
Practice Address - Street 1:4242 HONDO PASS DR
Practice Address - Street 2:STE. 101
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1205
Practice Address - Country:US
Practice Address - Phone:915-759-8555
Practice Address - Fax:915-759-8522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00499TOtherBCBS
TX00499TOtherBCBS