Individual
RYAN ANTHONY CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(214) 215-6534
Mailing address
2730 WOODS LN, GARLAND, TX 75044-2808
(214) 215-6534
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1232110C0
LA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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