Antonio Lazaro Carro, M.D.
Individual provider Active NPI Family Medicine Physician · Mulvane, KS
NPI 1003825720 · NPPES record last updated Oct 25, 2007
Key facts
- NPI
- 1003825720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-21889 (KS)
- Practice address
- 1004 SE Louis Dr
Mulvane, KS 67110-1109 - Phone
- (316) 777-0176
- Fax
- (316) 777-1817
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-21889 | KS | MD | Family Medicine Physician |
Interoperability endpoints
- antoniocarro@fmcpa.allscriptsdirect.net
- https://fhir-myrecord.cerner.com/r4/2563cb1b-8ed5-4fa8-82ee-eb933a99c9c2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-21889 | KS | Yes |
Addresses
Primary practice location
1004 SE Louis Dr
Mulvane, KS 67110-1109
Mailing address
1004 SE Louis Dr
Mulvane, KS 67110-1109
Phone (316) 777-0176
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057433 | Other | KS | BC/BS |
Other providers in Mulvane, KS
- Loretta Bartholomew
- Jeffrey D Belden
- Hannah Benvin
- Blooming Birth Doula Care
- Susan Louise Brocklesby
- City of Mulvane
- Brian G Comer
- Compassion Counseling LLC
- Kelsey Marie Curry-Swingle
- Hannah Dillon
All providers in Mulvane, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.