Individual
JEFFREY G CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1783 TROUP HWY, TYLER, TX 75701-5869
(903) 595-2283
(903) 595-1063
Mailing address
1783 TROUP HWY, TYLER, TX 75701-5869
(903) 595-2283
(903) 595-1063
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
J6892
TX
2086S0129X
Vascular Surgery Physician
Primary
J6892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045167601
SMITH COUNTY INDIGENT
TX
05
—
045167601
—
TX
01
—
060025875
RAILROAD MEDICARE
TX
05
—
1776505
—
LA
01
—
86K924
BCBS OF TEXAS
TX
Enumeration date
10/25/2005
Last updated
04/17/2026
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