Provider Demographics
NPI:1114711041
Name:CARROLL, PEYTON LEIGH (DC)
Entity type:Individual
Prefix:DR
First Name:PEYTON
Middle Name:LEIGH
Last Name:CARROLL
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77549-0308
Mailing Address - Country:US
Mailing Address - Phone:832-425-1626
Mailing Address - Fax:
Practice Address - Street 1:7311 FITE RD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1007
Practice Address - Country:US
Practice Address - Phone:832-425-1626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor