Individual
DR. MICHAEL JASON CAROLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3502 PAESANOS PKWY, SAN ANTONIO, TX 78231-1225
(515) 318-1246
Mailing address
3502 PAESANOS PKWY, SAN ANTONIO, TX 78231-1225
(515) 318-1246
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IB2212001
PTAN
—
Enumeration date
10/04/2010
Last updated
12/16/2016
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