Marvin Walter Carroll in San Angelo - Emergency Medicine
Marvin Walter Carroll - NPI 1073547451
Marvin Walter Carroll is a Emergency Medicine in San Angelo, Texas. Marvin Walter Carroll practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Marvin Walter Carroll is 1073547451. The last update date is 2012-08-22.
Marvin Walter Carroll's current location address is 3501 Knickerbocker Rd, San Angelo, Texas. You can contact this provider via phone number 8008939698. The mailing address for Marvin Walter Carroll is 3501 Knickerbocker Rd, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Walter Carroll |
|---|---|
| Address | 3501 Knickerbocker Rd, San Angelo, Texas |
| Phone Number | 8008939698 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073547451 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2012-08-22 |
Provider Mailing Address Detail
| Address | 3501 Knickerbocker Rd |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769047610 |
| Phone Number | 8008939698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | K7257 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 133618214 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marvin Walter Carroll by the Centers for Medicare & Medicaid Services?
The Marvin Walter Carroll has been assigned the NPI (National Provider Identifier) 1073547451. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Marvin Walter Carroll?
The Marvin Walter Carroll is physically situated at 3501 Knickerbocker Rd, in the city of San Angelo, state of TX, with the postal code 769047610.
What is Marvin Walter Carroll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marvin Walter Carroll's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073547451 to Marvin Walter Carroll?
The Centers for Medicare & Medicaid Services originally issued the 1073547451 to Marvin Walter Carroll on 2006-07-10.
When was the Marvin Walter Carroll's information last updated?
The Marvin Walter Carroll's information was last updated on 2012-08-22.