DR. Blake Danton Carroll, DC

NPI #1962988402 in Tyler, Texas

Provider Information

NPI Number: 1962988402
Entity Type: Individual
Name: DR. Blake Danton Carroll, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jul 18, 2018
Last Updated: Jul 18, 2018

Practice Location

Address: 6573 OLD JACKSONVILLE HWY STE 100
City: Tyler
State: Texas
ZIP Code: 75703-0722
Phone: (903) 617-6106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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