Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos E Pancorvo, MD

Individual provider Nephrology Physician · NPI 1417928573

Carlos E Pancorvo, MD is a Nephrology in Desoto, Texas. Qualified in 1993, 33 years ago. Practices with Dallas Nephrology Associates, a 154-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
33
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2651 Bolton Boone Dr
Desoto, TX 75115-2011
Phone: (214) 358-2300
Fax: (214) 579-6941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence L0482 (TX)

Record details

NPI number1417928573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Dallas Nephrology Associates — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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