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1396432738
CARLOS MARIO BOUCHOT
SAN ANTONIO, TX
NPI
1396432738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
CARLOS MARIO BOUCHOT MD
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-567-7000
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Mailing Address
CARLOS MARIO BOUCHOT MD
3126 NILE CT
LAREDO, TX 78046-1703
Phone number: 956-333-0595
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