Doctor Name: | CARLEO A CAPILI |
NPI Number: | 1255350112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G1348 |
Business Practice Address: | 1501 W Northwest Hwy Grapevine, TX - 760513143 |
Business Phone Number: | 8174815365 |
Business Fax Number: | 8274243264 |
Mailing Address: | 1501 W Northwest Hwy, GRAPEVINE |
State: | TX |
Postal Code: | 760513143 |
Phone Number: | 8174815365 |
Fax Number: | 8274243264 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 01/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G1348 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |