Individual
CARROLL DAVID DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
818 W HWY 82, GAINESVILLE, TX 76240
(940) 665-9111
(940) 665-9111
Mailing address
818 W HWY 82, GAINESVILLE, TX 76240
(940) 665-9111
(940) 665-2508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06706TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214483401
—
TX
Enumeration date
11/14/2005
Last updated
10/29/2010
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