Brad Glenn Carroll, D.C.

NPI #1770829814 in Jacksonville, Texas

Provider Information

NPI Number: 1770829814
Entity Type: Individual
Name: Brad Glenn Carroll, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 18, 2012
Last Updated: Dec 18, 2012

Practice Location

Address: 2045 S JACKSON ST
City: Jacksonville
State: Texas
ZIP Code: 75766-5821
Phone: (903) 586-3667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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