Provider Demographics
NPI:1346244225
Name:CAROTHERS, CURTIS JAY (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:JAY
Last Name:CAROTHERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:9812 SLIDE RD
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-5781
Practice Address - Country:US
Practice Address - Phone:806-725-8450
Practice Address - Fax:806-783-9283
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6311207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM23328070Medicaid
TX8CS231OtherBLUE CROSS BLUE SHIELD
TX8CS231OtherBLUE CROSS BLUE SHIELD
NM23328070Medicaid