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Individual

JAMES CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4262
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BP10050375
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
374034201
TX
01
426521YMAF
MEDICARE
TX
01
587074YS6P
MEDICARE
TX
01
75-0818167-015
TRICARE
TX
01
75-0818167-044
TRICARE
TX
01
75-0818167-048
TRICARE
TX
01
75-0818167-051
TRICARE
TX
01
75-1976930-005
TRICARE
TX
01
8GY074
BCBS
TX
01
P01878578
MEDICARE RAIL ROAD
TX
01
P01878810
MEDICARE RAIL ROAD
TX
Enumeration date
06/23/2014
Last updated
03/17/2018
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