Individual
JASON CARROLL REEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
200 S JOHN REDDITT DR, LUFKIN, TX 75904-3112
(936) 632-5252
(936) 632-5284
Mailing address
200 S JOHN REDDITT DR, LUFKIN, TX 75904-3112
(936) 632-5252
(936) 632-5284
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159972748
—
AR
05
—
218948201
—
TX
Enumeration date
06/13/2006
Last updated
08/18/2013
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