| Carlos A Dimidjian, DPM | |
|
1608 W Fm 700, Ste B, Big Spring, TX 79720 | |
| (432) 267-1441 | |
| (432) 267-1442 |
| Full Name | Carlos A Dimidjian |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot Surgery |
| Location | 1608 W Fm 700, Big Spring, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033197405 | NPI | - | NPPES |
| 110214703 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 0935 (Texas) | Primary |
| Provider Name | Big Bend Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811973282 PECOS PAC ID: 2163326281 Enrollment ID: O20031120000933 |
| Provider Name | Regional Employee Assistance Program Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
| Provider Name | Permian Premier Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20060816000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos A Dimidjian, DPM 1608 W Fm 700, Ste B, Big Spring, TX 79720 Ph: (432) 267-1441 | Carlos A Dimidjian, DPM 1608 W Fm 700, Ste B, Big Spring, TX 79720 Ph: (432) 267-1441 |
Carlos A Dimidjian Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1608 W Fm 700, Ste B, Big Spring, TX 79720 Phone: 432-267-1441 Fax: 432-267-1442 |