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General NPI Number Information
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NPI Number | 1366524886
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Entity Type | Individual
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Provider Name | CAROL A. POOLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 901 ROCKWALL PKWY
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City | ROCKWALL
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State | TX
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Zip | 75032-6502
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Country | US
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Telephone | 972-772-3234
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Fax | 972-772-3834
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Provider Business Mailing Address
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Address Line | 5425 RANGER DR
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City | ROCKWALL
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State | TX
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Zip | 75032-8435
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Country | US
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Telephone | 972-771-8169
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | H9401
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License Number State | TX
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