Individual
DAVID P CARELOCK
Active
Individual
DAVID P CARELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
637274
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006844701
—
TX
01
—
00C073M
BLUE CROSS BLUE SHIELD
TX
01
—
109873101
FIRSTCARE
TX
Enumeration date
10/06/2005
Last updated
05/02/2013
Update your record
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