Individual
DR. CHRISTIAN L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5450 CLEARFORK MAIN ST STE 420, FORT WORTH, TX 76109
(817) 566-9361
(817) 422-0858
Mailing address
5450 CLEARFORK MAIN ST STE 420, FORT WORTH, TX 76109-3559
(817) 566-9361
(817) 422-0858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L3601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156615001
—
TX
05
—
156615002
—
TX
Enumeration date
05/17/2006
Last updated
07/21/2022
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