Individual
CARL JOHN PELLERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-1000
Mailing address
3601 4TH ST RM 2A100, LUBBOCK, TX 79430-0002
(713) 882-6312
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
V7993
TX
390200000X
Student in an Organized Health Care Education/Training Program
V7993
TX
Other
Enumeration date
05/20/2021
Last updated
06/17/2025
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