Individual
JONATHAN SCOTT CARROLL
Active
Individual
JONATHAN SCOTT CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10080720
TX
2084P0800X
Psychiatry Physician
Primary
W5753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10080720
TEXAS MEDICAL BOARD - PIT PERMIT
TX
Enumeration date
05/06/2022
Last updated
06/22/2026
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