Individual
DR. JOSEPH LEONARD DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 OLYMPIC PLAZA CIR, STE 700, TYLER, TX 75701-1951
(903) 262-3900
(903) 262-3993
Mailing address
700 OLYMPIC PLAZA CIR, STE 700, TYLER, TX 75701-1951
(903) 262-3900
(903) 262-3993
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J0472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129781401
—
TX
Enumeration date
06/01/2006
Last updated
08/14/2013
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