Provider Demographics
NPI:1184154247
Name:DARREN CARNES
Entity type:Organization
Organization Name:DARREN CARNES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-360-7475
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:TX
Mailing Address - Zip Code:75758-0305
Mailing Address - Country:US
Mailing Address - Phone:903-360-7475
Mailing Address - Fax:903-849-0225
Practice Address - Street 1:321 CRESTVIEW ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:TX
Practice Address - Zip Code:75758-2343
Practice Address - Country:US
Practice Address - Phone:903-360-7475
Practice Address - Fax:903-849-0225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty