| Marvin Walter Carroll, MD | |
|
3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Marvin Walter Carroll |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3501 Knickerbocker Rd, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073547451 | NPI | - | NPPES |
| 133618214 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | K7257 (Texas) | Primary |
| Entity Name | Brewster Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538218771 PECOS PAC ID: 1254430481 Enrollment ID: O20070628000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Walter Carroll, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: () - | Marvin Walter Carroll, MD 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (800) 893-9698 |
Dr. Yaseen Saleh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 | |
Dr. Lance Eliot Hafter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 Fax: 325-747-8435 | |
Michael Patrick Strayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Kinickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Dr. Scott David Hodge, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
Dr. Samuel Joseph Kasberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker, San Angelo Community Medical Center, San Angelo, TX 76904 Phone: 325-947-6960 Fax: 325-947-6968 | |
Dr. James Gregory Vretis Ii, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 |