Powell, Carson Lane

Powell, Carson Lane is an individual health care provider with primary practice located at 3001 University Blvd , Tyler TX 75701-7457. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Powell, Carson Lane can be contacted via phone (417) 540-8634.

Contact Information

Primary practice address
3001 University Blvd Tyler TX 75701-7457
Phone: (417) 540-8634
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT6747 Texas

Profile Details

NPI number 1659890259
LBN Legal business name Powell, Carson Lane
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2017
Last updated Sep 14th, 2017 - about 7 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.

Request for update

Popular Providers