Irene V Carroll in Fort Worth - Pediatrics

Irene V Carroll - NPI 1679636401

Irene V Carroll is a Pediatrics in Fort Worth, Texas. Irene V Carroll practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Irene V Carroll is 1679636401. The last update date is 2010-04-20.

Irene V Carroll's current location address is 3840 Hulen St, Fort Worth, Texas. You can contact this provider via phone number 8175694395 and fax number 8175694517. The mailing address for Irene V Carroll is 3840 Hulen St, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Irene V Carroll
Address 3840 Hulen St, Fort Worth, Texas
Phone Number 8175694395
Fax Number 8175694517
Sole Proprietor N
Credentials O.T.

NPI Number Detail

NPI Number 1679636401
Provider Enumeration Date 2006-12-19
Last Updated Date 2010-04-20

Provider Mailing Address Detail

Address 3840 Hulen St
City Fort Worth
State Texas (TX)
Post Code 761077277
Phone Number 8175694395
Fax Number 8175694517

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 225Xp0200X
Licence No 106280
Definition:
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5464501 TX --
8T0154 TX BCBS

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FAQs about Irene V Carroll

What is the unique 10-digit identifier code assigned to Irene V Carroll by the Centers for Medicare & Medicaid Services?

The Irene V Carroll has been issued the NPI (National Provider Identifier) 1679636401 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Irene V Carroll?

The Irene V Carroll is physically situated at 3840 Hulen St, in the city of Fort Worth, state of TX, with the postal code 761077277.

What is the Irene V Carroll's area of specialization and corresponding taxonomy classification?

The Irene V Carroll's specialty field is Pediatrics, and it falls under the taxonomy code 225Xp0200X, which categorizes healthcare providers based on their specialties.

When did Irene V Carroll receive its 1679636401 assignment?

The Irene V Carroll was assigned its 1679636401 on 2006-12-19, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Irene V Carroll most recently updated or revised?

The information pertaining to Irene V Carroll, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-20.

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