Organization Active NPI

Carrasco & Carrasco, LLP

  • Specialist
  • Amarillo, TX
National Provider Identifier
1891980553
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1914 Issued in TX
Legal business name
CARRASCO & CARRASCO, LLP
Practice address
1911 Port LN Ste 2
Amarillo, TX 79106-2470
Phone
(806) 359-9100
Fax
(806) 359-7022
NPI assigned
Sep 6, 2007
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert B Carrasco, M.D.
Title
Partner
Phone
(806) 359-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J1914 TX Primary

Addresses

Primary practice location

1911 Port LN Ste 2
Amarillo, TX 79106-2470

Mailing address

1911 Port LN Ste 2
Amarillo, TX 79106-2470
Phone (806) 359-9100

Other identifiers 2

IdentifierTypeStateIssuer
84861SOtherTXBLUECROSS BLUE SHIELD
84860SOtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1911 Port Ln
Ste 2
Amarillo, TX 79106
Phone (806) 359-9100

1911 Port Ln
Ste B
Amarillo, TX 79106
Phone (806) 359-9100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1891980553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 PORT LN STE 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062470",
            "telephone_number": "806-359-9100",
            "fax_number": "806-359-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 PORT LN STE 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062470",
            "telephone_number": "806-359-9100",
            "fax_number": "806-359-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRASCO & CARRASCO, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "806-359-9100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "84861S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84860S",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.