Organization
CARRASCO & CARRASCO, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B CARRASCO M.D. (PARTNER)
(806) 359-9100
Entity
Organization
Contact information
Practice address
1911 PORT LN STE 2, AMARILLO, TX 79106-2470
(806) 359-9100
(806) 359-7022
Mailing address
1911 PORT LN STE 2, AMARILLO, TX 79106-2470
(806) 359-9100
(806) 359-7022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84860S
BLUE CROSS BLUE SHIELD
—
01
—
84861S
BLUECROSS BLUE SHIELD
TX
Enumeration date
09/06/2007
Last updated
02/08/2013
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