Search › Texas › 2255A2300X
John Carollo, MS, LAT, ATC
NPI 1841235546 · on the registry since 2006 · sole proprietor
Practice
- Address
- 8431 Fredericksburg Rd Fl 5
San Antonio, TX 78229 - Phone
- (210) 845-6458
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- OH, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas