Individual
CARSON DAVID POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8811 VILLAGE DR, SAN ANTONIO, TX 78217-5415
(515) 971-6920
Mailing address
8811 VILLAGE DR, SAN ANTONIO, TX 78217
(210) 297-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16188
TX
Other
Enumeration date
10/19/2022
Last updated
03/27/2023
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