Provider Demographics
NPI:1295892271
Name:VAN DE CARR, FRANCIS RENE (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:RENE
Last Name:VAN DE CARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FR.
Other - Middle Name:
Other - Last Name:VANDE CARR
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:79640 RANCHO LA QUINTA DR
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-8209
Mailing Address - Country:US
Mailing Address - Phone:760-564-4835
Mailing Address - Fax:760-564-4835
Practice Address - Street 1:79640 RANCHO LA QUINTA DR
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-8209
Practice Address - Country:US
Practice Address - Phone:760-564-4835
Practice Address - Fax:760-564-4835
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG5031207VC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VC0200XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care Medicine