Individual
CAROLINE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10296 E 122ND ST S, BIXBY, OK 74008-5840
(918) 892-8478
Mailing address
10296 E 122ND ST S, BIXBY, OK 74008-5840
(918) 892-8478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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