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NPI Code Detail

MEDICARE: CARSON MACALLAN CASH

MEDICARE: CARSON MACALLAN CASH
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
1106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1700458767
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARSON MACALLAN CASH
Provider Business Mailing Address
First Line : 5751 BLYTHEWOOD ST STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77021-5403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5751 BLYTHEWOOD ST STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77021-5403
Country : US
Telephone Number : 346-217-8328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2021
Last Update Date : 07/10/2021

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Directions to “ CARSON MACALLAN CASH ” Practice Location

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