Individual
DONNELL KAJAUN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1010 BRIAR NET, CONROE, TX 77301-1890
(615) 294-2192
Mailing address
1010 BRIAR NET, CONROE, TX 77301-1890
(615) 294-2192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA07043
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741889584
TAX ID #
TX
01
—
B0178864
DPS
TX
01
—
PA07043
TEXAS LICENSE
TX
Enumeration date
07/25/2011
Last updated
03/07/2023
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