Carrillo, Javier
Carrillo, Javier is an individual health care provider with primary practice located at 3115 South Loop 306 Suite 110, San Angelo TX 76904-5983. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Carrillo, Javier can be contacted via phone (325) 942-1952.Contact Information
Primary practice address
3115 South Loop 306 Suite 110
San Angelo TX 76904-5983
Phone: (325) 942-1952
Fax: (325) 942-1517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 24690 | Texas |
Profile Details
| NPI number | 1750327649 |
|---|---|
| LBN Legal business name | Carrillo, Javier |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Nov 13th, 2020 - about 4 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 | 1750327649 | NPPES |
| Texas | MEDICAID | 117826108 | |
| Texas | Other | 87709A |
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