Individual provider · Type 1 NPI
Blake Danton Carroll, DC
Chiropractor · Tyler, TX
NPI number
1962988402
Active
Practice location
6573 Old Jacksonville Hwy Ste 100
Tyler, TX 75703-0722
Fax (903) 617-6857
Mailing address
16104 Buckboard Cir
Tyler, TX 75703-7504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13869 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2 other providers at this address
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- Jennifer Golden, DCChiropractor Tyler, TX NPI 1053840553
- Sarah Hembree Hill, D.CChiropractor Tyler, TX NPI 1073752499
- Travis Earl Parker, DCChiropractor Tyler, TX NPI 1134157951
- Martin R. Blanchard Jr., DCChiropractor Tyler, TX NPI 1134165236
About NPI 1962988402
Blake Danton Carroll, DC's National Provider Identifier is 1962988402, issued on Jul 18, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tyler, TX. The record was last updated on Jul 18, 2018.