Carmack, David L
Carmack, David L is an sole proprietor health care provider with primary practice located at 618 Broadway St , Marble Falls TX 78654-5206. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Podiatric. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Carmack, David L can be contacted via phone (830) 265-6104.Contact Information
Primary practice address
618 Broadway St
Marble Falls TX 78654-5206
Phone: (830) 265-6104
Fax: (830) 376-5074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1739 | Texas |
| Ambulatory Health Care Facilities / Podiatric | 261QP1100X | 1739 | Texas |
Profile Details
| NPI number | 1043212889 |
|---|---|
| LBN Legal business name | Carmack, David L |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Apr 4th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043212889 | NPPES |
| Texas | MEDICAID | 1043212889 |
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