Organization
KARIS MCCARROLL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA R PACHECO (BILLING/CREDENTIALLING)
(210) 615-1406
Entity
Organization
Contact information
Practice address
16110 VIA SHAVANO, SAN ANTONIO, TX 78249-2380
(210) 615-7171
(210) 615-6793
Mailing address
16110 VIA SHAVANO, SAN ANTONIO, TX 78249-2380
(210) 615-7171
(210) 615-6793
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097574002
—
TX
Enumeration date
11/04/2010
Last updated
08/11/2015
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