Carrasco, Michael John

Carrasco, Michael John is an individual health care provider with primary practice located at 3901 W 15Th St , Plano TX 75075-7738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Carrasco, Michael John can be contacted via phone (972) 758-3598.

Contact Information

Primary practice address
3901 W 15Th St Plano TX 75075-7738
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L1813 Texas

Profile Details

NPI number 1760467799
LBN Legal business name Carrasco, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Mar 1st, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760467799 NPPES
Texas MEDICAID 149178902
Texas Other 930115384
Texas MEDICAID 149178901
Texas Other 8A0479
Texas Other 8A9406
Texas Other 930117001

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