DAVID W CARLSON MD PA (NPI# 1356768006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356768006 |
Entity Type | Organization |
Organization Name | DAVID W CARLSON MD PA |
Practice Address |
4402 Broadway Blvd Suite 1 Garland TX 75043-8263 |
Practice Telephone | 9722401789 |
Mailing Telephone | 9722401789 |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |
Authorized Official Name | SYLVIA CARLSON (BUSINESS MANAGER) |
Authorized Official Telephone | 9722401789 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
HO233 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | NPI | 1700961406 | 01 |
TX | UPIN | C14201 | 01 |
Street Address |
4402 BROADWAY BLVD SUITE 1 |
City | GARLAND |
State | TX |
Zip Code | 75043-8263 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578566204 | Michael Dene Hildinger | Dentist | 4402 Broadway Blvd, Ste 12, Garland, TX 75043-3400 | 2005-05-27 |
1750778197 | Ultimate Plus Hospice LLC | Hospice Care, Community Based | 4402 Broadway Blvd, Ste 9a, Garland, TX 75043-8263 | 2015-04-23 |
1487977849 | Golden Hawk Medical | Case Management | 4402 Broadway Blvd, 2, Garland, TX 75043-8263 | 2010-03-12 |
1053644112 | Betty A Jetawo | Durable Medical Equipment & Medical Supplies | 4402 Broadway Blvd, Suite 2, Garland, TX 75043-8263 | 2009-09-08 |
1417145558 | Onungwanta Onungwa | Home Health | 4402 Broadway Blvd, Suite #7, Garland, TX 75043 | 2007-10-12 |
1497943534 | Divinetouch Health Services | Home Health | 4402 Broadway Blvd, Suite #7, Garland, TX 75043 | 2007-10-12 |
1992919443 | Health Star Home Health Agency | Home Health | 4402 Broadway Blvd, Suite 6f, Garland, TX 75043 | 2007-05-10 |
1902934052 | J & M Communications Inc | Home Health | 4402 Broadway Blvd, Suite 14, Garland, TX 75043-8263 | 2007-03-01 |
1881792554 | Dale R Mallory | Chiropractor | 4402 Broadway Blvd, Suite 9, Garland, TX 75043-8263 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073520177 | Vijaya Nama Md Pa | Clinic/Center | 407 W Interstate 30, Garland, TX 75043-5912 | 2006-08-02 |
1871124040 | Alshine Healthcare Clinic LLC | Clinic/Center | 6330 Broadway Blvd Ste C, Garland, TX 75043-5956 | 2020-01-28 |
1467911107 | Topcare Family & Wellness Clinic | Clinic/Center | 2940 Broadway Blvd Ste 15, Garland, TX 75041-3749 | 2019-03-12 |
1164744660 | Famicare Clinic, Pa | Clinic/Center | 3465 W Walnut St, Suite 225, Garland, TX 75042-7153 | 2010-02-24 |
1326237868 | Wentian Huang, Md, Phd, P.C. | Clinic/Center | 3475 Collins Blvd, Garland, TX 75044-3621 | 2007-10-22 |
1598984577 | Forest Medical Care, P.a | Clinic/Center | 2046 Forest Ln, Suite #130, Garland, TX 75042-7958 | 2007-04-25 |
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1821696253 | Bio Drip, LLC | Clinic/Center | 935 Sunland Park Dr Ste 103, El Paso, TX 79922-1369 | 2020-10-16 |
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1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.