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NPI Code Detail

MEDICARE: DR. LUKE CARROLL MD

MEDICARE: DR. LUKE CARROLL MD
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
1207L00000XAnesthesiology PhysicianS2252TX

General Provider Information

NPI Number : 1548648124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUKE CARROLL MD
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-0000
Fax Number :
Provider Business Practice Location Address
First Line : 22407 HOLZWARTH RD
Second Line :
City : SPRING
State : TX
Zip : 77389-1933
Country : US
Telephone Number : 346-674-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2015
Last Update Date : 11/04/2025

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Directions to “ DR. LUKE CARROLL MD” Practice Location

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