Individual
MR. DAN BRENT CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1717 HIGHWAY 59 LOOP N, LIVINGSTON, TX 77351-5703
(936) 327-4381
Mailing address
PO BOX 650802, DALLAS, TX 75265-0802
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
657215
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
748689
TX
367500000X
Certified Registered Nurse Anesthetist
C00630
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192004301
—
TX
05
—
192004304
—
TX
01
—
88567U
BCBS
TX
Enumeration date
12/04/2006
Last updated
08/08/2011
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