Individual
TANNON DAJUAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SETON PKWY, SUITE 302, ROUND ROCK, TX 78665-8002
(512) 324-4812
(512) 324-4728
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
P7887
TX
207RI0011X
Interventional Cardiology Physician
Primary
P7887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328854001
—
TX
05
—
328854003
—
TX
05
—
328854004
—
TX
01
—
8DZ199
BCBS
TX
01
—
8ET191
BCBS
TX
Enumeration date
12/18/2006
Last updated
12/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us