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Dr. Blake Danton Carroll, DC
Chiropractor in Tyler, Texas
NPI 1962988402

Blake Danton Carroll is a Chiropractor based in Tyler, TX. Blake Danton Carroll practices in Tyler, TX and has the professional credentials of DC. The NPI Number for Blake Danton Carroll is 1962988402 and holds a License No. 13869 (Texas).

The current practice location address for Blake Danton Carroll is 6573 Old Jacksonville Hwy Ste 100, Tyler, TX and can be reached out via phone at 903-617-6106 and via fax at 903-617-6857.

Location: 6573 Old Jacksonville Hwy Ste 100, Tyler, TX, 75703-7504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962988402
Provider Name
Blake Danton Carroll
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
6573 Old Jacksonville Hwy Ste 100, Tyler, TX, 75703-7504
Phone Number
903-617-6106
Fax Number
903-617-6857
Provider Enumeration Date
07/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6573 Old Jacksonville Hwy Ste 100
City
Tyler
State
Texas
Zip
75703-0722
Phone Number
903-617-6106
Fax Number
903-617-6857
person
Provider Business Mailing Address Details
Address
6573 Old Jacksonville Hwy Ste 100
City
Tyler
State
Texas
Zip
75703-0722
Phone Number
903-617-6106
Fax Number
903-617-6857
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
13869 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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