Individual
DR. JASON EDWIN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 W BEN WHITE BLVD, AUSTIN, TX 78704-7524
(512) 326-5440
(512) 326-8660
Mailing address
2315 W BEN WHITE BLVD, AUSTIN, TX 78704-7524
(512) 326-5440
(512) 326-8660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P9311
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
P9311
TX
Other
Enumeration date
07/21/2009
Last updated
09/22/2014
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