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

Carlos Medellin

Individual provider Dental Assistant · NPI 1063176311

Carlos Medellin is a Dental Assistant in Houston, Texas. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

2302 Keyhole Ln
Houston, TX 77084-5262
Phone: (281) 647-6656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1063176311
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 23, 2021
Last updated in NPPESOctober 23, 2021
Certification dateOctober 23, 2021

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