Dr Russell Thomas Carroll, PSYD is a
Clinical Neuropsychologist based in Fort Sam Houston, Texas. Dr Russell Thomas Carroll is licensed to practice in * (Not Available) (license number ) and his current practice location is
3551 Roger Brooke Dr, Fort Sam Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 916-8693.
NPI number for Dr Russell Thomas Carroll is 1386842664 and his current mailing address is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386842664.
Healthcare Provider's Profile
| Full Name | Dr Russell Thomas Carroll |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386842664
- Provider Enumeration Date: 07/06/2007
- Last Update Date: 05/11/2020
Medical Identifiers
Medical identifiers for Dr Russell Thomas Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386842664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Russell Thomas Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Russell Thomas Carroll, PSYD
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (210) 916-8693 | Dr Russell Thomas Carroll, PSYD
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (210) 916-8693 |
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