Individual
MR. CARLTON J ROJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 525-1914
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP120648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288249013
—
TX
05
—
288249015
—
TX
05
—
288249020
—
TX
05
—
288249021
—
TX
01
—
710892
TX NURSING LICENSE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
75-2616977-042
TRICARE
TX
01
—
8012NQ
BCBS
TX
01
—
8460NY
BCBS
TX
01
—
8461NY
BCBS
TX
01
—
P01502514
RAIL ROAD
TX
01
—
P01719544
RAIL ROAD MEDICARE
TX
01
—
P01731691
RAIL ROAD MEDICARE
TX
Enumeration date
07/20/2011
Last updated
03/06/2024
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