Individual
DR. JOHN RAYMOND CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2606 HOSPITAL BLVD STE B, CORPUS CHRISTI, TX 78405-1804
(469) 282-4789
(469) 282-4588
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2625
(469) 282-2655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22136
IA
207Q00000X
Family Medicine Physician
P9312
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
P9312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1L5224
MEDICARE
TX
05
—
2196766
—
IA
05
—
332933601
—
TX
05
—
332933605
—
TX
01
—
P02601758
MCRR
TX
Enumeration date
10/05/2005
Last updated
04/12/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us