Individual
DR. CARSON COPE PETRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 SPURS LN, SAN ANTONIO, TX 78240-1669
(800) 833-5921
(713) 513-5613
Mailing address
21 SPURS LN, SAN ANTONIO, TX 78240-1669
(800) 833-5921
(713) 513-5613
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
U4600
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
U4600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36379873
TEXAS DRIVERS LICENSE
TX
Enumeration date
04/03/2018
Last updated
04/28/2025
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