Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | S2802 | TX |
NPI | 1376905596 |
---|---|
Provider Name | Caroline Elizabeth Jarrell |
First Address | Opelousas, LA 70570-5732 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2016 |
Last Update Date | 05/08/2019 |