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Individual
MR. FREDERIC DEAN CARR
Active
Individual
MR. FREDERIC DEAN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1020535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
634192
FIRST HEALTHCCN
TX
01
—
6362783
CIGNA
TX
01
—
7615482
AETNA
TX
01
—
8T1933
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/30/2006
Last updated
02/22/2021
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