Carr, Christian L
Carr, Christian L is an individual health care provider with primary practice located at 5450 Clearfork Main St Ste 420 , Fort Worth TX 76109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carr, Christian L can be contacted via phone (817) 566-9361.Contact Information
Primary practice address
5450 Clearfork Main St Ste 420
Fort Worth TX 76109
Phone: (817) 566-9361
Fax: (817) 422-0858
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | L3601 | Texas |
Profile Details
NPI number | 1124070909 |
---|---|
LBN Legal business name | Carr, Christian L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Jul 21st, 2022 - about 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124070909 | NPPES |
Texas | MEDICAID | 156615002 | |
Texas | MEDICAID | 156615001 |
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