Individual
ADRIENNE J K CARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 E MARSHALL AVE, SUITE 5007, LONGVIEW, TX 75601-5500
(903) 315-4455
(903) 315-2466
Mailing address
PO BOX 731218, DALLAS, TX 75373-1218
(903) 315-4119
(903) 315-4129
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
N1275
TX
Other
Enumeration date
07/25/2007
Last updated
07/23/2015
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