Dr. Corey Clifford Carothers, DDS
Dentist in San Marcos, TX. Individual provider (NPI-1).
NPI number1720299712
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720299712
- Entity type
- Individual (NPI-1)
- Name
- Dr. Corey Clifford Carothers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22947 | TX | Yes |
Practice location
310 Stagecoach Trl Ste 700San Marcos, TX 78666-5151
Phone 512-396-4288
Mailing address
Po Box 297San Marcos, TX 78667-0297
Phone 361-549-8331
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