Provider Demographics
NPI:1932782075
Name:NATHAN L CARR PC
Entity type:Organization
Organization Name:NATHAN L CARR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:956-682-4151
Mailing Address - Street 1:PO BOX 3744
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-3744
Mailing Address - Country:US
Mailing Address - Phone:956-682-4151
Mailing Address - Fax:956-682-4154
Practice Address - Street 1:10513 MILE 20 N
Practice Address - Street 2:
Practice Address - City:MONTE ALTO
Practice Address - State:TX
Practice Address - Zip Code:78538-3507
Practice Address - Country:US
Practice Address - Phone:956-682-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty