Individual
DALLAS CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(254) 618-8782
Mailing address
306 W LITTLE DIPPER, KILLEEN, TX 76542-6458
(210) 287-1020
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
06/13/2025
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