Provider Demographics
NPI:1336637123
Name:CARRUS CARE PHYSICIANS GROUP INC.
Entity Type:Organization
Organization Name:CARRUS CARE PHYSICIANS GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANBARASU
Authorized Official - Middle Name:
Authorized Official - Last Name:NACHIMUTHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-870-2745
Mailing Address - Street 1:1810 W US HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7069
Mailing Address - Country:US
Mailing Address - Phone:903-870-2745
Mailing Address - Fax:903-870-2795
Practice Address - Street 1:1810 W US HIGHWAY 82
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7069
Practice Address - Country:US
Practice Address - Phone:903-870-2745
Practice Address - Fax:903-870-2795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty