Healthcare Provider Details

I. General information

NPI: 1255707220
Provider Name (Legal Business Name): CAROBEL HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2015
Last Update Date: 08/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8617 GRAY SHALE DR
SAGINAW TX
76179-4378
US

IV. Provider business mailing address

8617 GRAY SHALE DR
SAGINAW TX
76179-4378
US

V. Phone/Fax

Practice location:
  • Phone: 682-241-8600
  • Fax:
Mailing address:
  • Phone: 682-241-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: THOMAS WOAHLOE
Title or Position: ADMINISTRATOR
Credential: LNFA
Phone: 682-241-8600