Individual provider · Type 1 NPI

Carlos Antonio Cisneros, MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1003709239 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Call (214) 648-2168 Map

Fax (214) 648-7517

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003709239

Carlos Antonio Cisneros, MEDICAL STUDENT's National Provider Identifier is 1003709239, issued on May 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on May 28, 2025.