Individual
DR. JOHNATHAN MARVIN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2681 GATTIS SCHOOL RD STE 100, ROUND ROCK, TX 78664-2057
(512) 898-9995
(512) 898-9994
Mailing address
2681 GATTIS SCHOOL RD STE 100, ROUND ROCK, TX 78664-2057
(512) 898-9995
(512) 898-9994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8104TG
TX
Other
Enumeration date
09/27/2012
Last updated
07/21/2022
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