Mccarroll, Karis M
Mccarroll, Karis M is an sole proprietor health care provider with primary practice located at 16110 Via Shavano , San Antonio TX 78249-2380. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mccarroll, Karis M can be contacted via phone (210) 615-7171.Contact Information
Primary practice address
16110 Via Shavano
San Antonio TX 78249-2380
Phone: (210) 615-7171
Fax: (210) 615-6793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G5032 | Texas |
Profile Details
| NPI number | 1144291519 |
|---|---|
| LBN Legal business name | Mccarroll, Karis M |
| Credentials | MD PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Aug 11th, 2015 - about 9 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 | 1144291519 | NPPES |
| Texas | Other | 1144291519 | NPI |
| Texas | MEDICAID | 097574002 | NPI |
| Texas | Other | 240007915 | NPI |
| Texas | Other | G5032 | NPI |
| Texas | Other | 00B79C | NPI |
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