Individual
TYRONE DONNELL CARROLL-DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6201
Mailing address
6431 FANNIN ST STE 5.020, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
789790423
TX
Other
Enumeration date
12/09/2024
Last updated
02/05/2025
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