Provider Demographics
NPI:1922819515
Name:MCCALLISTER, CARRINGTON (PA-C)
Entity type:Individual
Prefix:
First Name:CARRINGTON
Middle Name:
Last Name:MCCALLISTER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-7227
Mailing Address - Country:US
Mailing Address - Phone:972-754-1850
Mailing Address - Fax:
Practice Address - Street 1:2404 MARTIN DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-7227
Practice Address - Country:US
Practice Address - Phone:972-754-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program