Individual
DR. PETER JOSEPH O'CARROLL III
Active
Individual
DR. PETER JOSEPH O'CARROLL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
N2220
TX
2084N0600X
Clinical Neurophysiology Physician
N2220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203901801
—
TX
01
—
P00736485
RR MCR
TX
Enumeration date
06/07/2007
Last updated
09/13/2020
Update your record
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