Most Relevant Information
Provider Data
| NPI Number: | 1003508128 |
| Provider Name: | CARLOS BISHOP LPT |
| Entity Type: | Individual |
| Taxonomy Code: | 167G00000X |
| Specialty: | Licensed Psychiatric Technician |
| License Number: | 40477 |
Most Important Dates
| Enumeration Date: | 05/25/2023 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
201 N K ST
TULARE
CA
932744005
Practice Location Phone/Fax
| Phone: | 5596878713 |
| Fax: |
Provider Mailing Location
201 N K ST
TULARE
CA
932744005
Provider Mailing Phone/Fax
| Phone: | 5596878713 |
| Fax: |