Individual
MS. FRETH L CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CNOR CRNFA
Contact information
Practice address
1266 E LONE STAR DR, BUDA, TX 78610-4885
(512) 376-9380
(512) 215-8485
Mailing address
1266 E LONE STAR DRIVE, BUDA, TX 78610
(512) 376-9380
(512) 215-8485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222322
TX
163WR0006X
Registered Nurse First Assistant
Primary
222322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149093001
—
TX
01
—
89N901
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/26/2006
Last updated
12/18/2008
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