Individual
MR. STACY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
907 EUREKA ST, SUITE B, WEATHERFORD, TX 76086-5880
(817) 599-4901
(325) 646-9454
Mailing address
907 EUREKA ST, SUITE B, WEATHERFORD, TX 76086-5880
(817) 599-4901
(325) 646-9964
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04567
TX
Other
Enumeration date
01/03/2007
Last updated
09/08/2008
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