MEDICARE: BRENDAN CARR LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT138322	TX

General Provider Information

NPI Number	:	1407793839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDAN CARR LMT

Provider Business Mailing Address
First Line	:	9425 N MACARTHUR BLVD STE 17
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-4890
Country	:	US
Telephone Number	:	760-805-9092
Fax Number	:

Provider Business Practice Location Address
First Line	:	9425 N MACARTHUR BLVD STE 17
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-4890
Country	:	US
Telephone Number	:	760-805-9092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ BRENDAN CARR LMT” Practice Location

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