Carroll, Tannon Dajuan

Carroll, Tannon Dajuan is an individual health care provider with primary practice located at 301 Seton Pkwy Suite 302, Round Rock TX 78665-8002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Carroll, Tannon Dajuan can be contacted via phone (512) 324-4812.

Contact Information

Primary practice address
301 Seton Pkwy Suite 302 Round Rock TX 78665-8002
Phone: (512) 324-4812
Fax: (512) 324-4728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X P7887 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X P7887 Texas

Profile Details

NPI number 1154484715
LBN Legal business name Carroll, Tannon Dajuan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Dec 22nd, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154484715 NPPES
Texas MEDICAID 328854003
Texas Other 8DZ199
Texas MEDICAID 328854004
Texas MEDICAID 328854001
Texas Other 8ET191

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