Individual
MR. BRIAN W. CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1013 W UNIVERSITY AVE STE 335, GEORGETOWN, TX 78628-5343
(512) 876-2111
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(512) 876-2111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11300946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2274981/5464990
FIRST HEALTH
TX
01
—
74-2862345
CIGNA
TX
01
—
742862345
GREAT WEST
TX
01
—
7704625
AETNA
TX
01
—
8T2938/0092EX
BCBS
TX
Enumeration date
08/20/2006
Last updated
07/09/2024
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