Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyrone Donnell Carroll-Davis Jr., CAA

Individual provider Anesthesiologist Assistant · NPI 1902612674

Tyrone Donnell Carroll-Davis Jr., CAA is an Anesthesiology Assistant in Houston, Texas. Qualified in 2024, 2 years ago. Practices with UT Physicians, a 1,732-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

6411 Fannin St
Houston, TX 77030-1501
Phone: (713) 500-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 789790423 (TX)

Record details

NPI number1902612674
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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