Individual
GREGORY DUNCAN MCCARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7622 LOUIS PASTEUR DR, STE. 100, SAN ANTONIO, TX 78229-4037
(210) 614-7840
(210) 614-6421
Mailing address
7622 LOUIS PASTEUR DR, STE. 100, SAN ANTONIO, TX 78229-4037
(210) 614-7840
(210) 614-6421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G5351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1247207-05
WELLMED MEDICAID
TX
01
—
354622YLPS
WELLMED MEDICARE
TX
Enumeration date
09/28/2006
Last updated
02/21/2018
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