Individual
PAUL TIMOTHY CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8140 N MO PAC EXPY, BUILDING 3, SUITE 210, AUSTIN, TX 78759-8837
(512) 343-2292
(512) 343-2745
Mailing address
8140 N MO PAC EXPY, BUILDING 3, SUITE 210, AUSTIN, TX 78759-8862
(512) 343-2292
(512) 343-2745
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M5084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1895310-01
—
TX
Enumeration date
06/12/2006
Last updated
04/16/2014
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