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Individual

ANDREW CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12318 I45 NORTH, SUITE 500, WILLIS, TX 77378
(936) 441-4422
Mailing address
12318 I45 NORTH, SUITE 500, WILLIS, TX 77378

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4056950
TX
225100000X
Physical Therapist
Primary
1382797
TX
225200000X
Physical Therapy Assistant
2130151
TX

Other

Enumeration date
06/13/2017
Last updated
05/14/2025
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