Provider Demographics
NPI:1306869888
Name:MEGO, CARLOS DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:DAVID
Last Name:MEGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4449
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4449
Mailing Address - Country:US
Mailing Address - Phone:956-362-8460
Mailing Address - Fax:956-362-8455
Practice Address - Street 1:1200 E SAVANNAH AVE
Practice Address - Street 2:STE 7
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1727
Practice Address - Country:US
Practice Address - Phone:956-362-8460
Practice Address - Fax:956-362-8455
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6147207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043795602Medicaid
TX8523J0Medicare ID - Type Unspecified
TXF99801Medicare UPIN