Organization Active NPI

Manuel R. Carrasco,MD,PA

  • Internal Medicine Physician
  • Big Spring, TX
National Provider Identifier
1952471344
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J5275 Issued in TX
Legal business name
MANUEL R. CARRASCO,MD,PA
Practice address
1501 W 11TH PL
Suite 302
Big Spring, TX 79720-4119
Phone
(432) 714-4500
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Manuel R Carrasco, M.D.
Title
President
Phone
(432) 714-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J5275 TX Primary

Addresses

Primary practice location

1501 W 11TH PL
Suite 302
Big Spring, TX 79720-4119

Mailing address

1501 W 11TH PL
Suite 302
Big Spring, TX 79720-4119
Phone (432) 714-4500

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1952471344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL",
            "address_2": "SUITE 302",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204119",
            "telephone_number": "432-714-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL",
            "address_2": "SUITE 302",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204119",
            "telephone_number": "432-714-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL R. CARRASCO,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-714-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.