Carmack, David L

Carmack, David L is an sole proprietor health care provider with primary practice located at 618 Broadway St , Marble Falls TX 78654-5206. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Podiatric. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Carmack, David L can be contacted via phone (830) 265-6104.

Contact Information

Primary practice address
618 Broadway St Marble Falls TX 78654-5206
Fax: (830) 376-5074
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1739 Texas
Ambulatory Health Care Facilities / Podiatric 261QP1100X 1739 Texas

Profile Details

NPI number 1043212889
LBN Legal business name Carmack, David L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Apr 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043212889 NPPES
Texas MEDICAID 1043212889

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