Individual
PHILLIP RANDALL CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
112 GOLDEN OAKS DR, GEORGETOWN, TX 78628-3318
(512) 963-9168
Mailing address
107 JUNIPER BERRY TRL, GEORGETOWN, TX 78633-4705
(512) 963-9168
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1000662
TX
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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