DAVID W CARLSON MD PA


Address: 4402 Broadway Blvd, Suite 1, Garland, TX 75043-8263
Phone: 9722401789

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
HO233 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX NPI 1700961406 01
TX UPIN C14201 01

Office Location

Street Address 4402 BROADWAY BLVD
SUITE 1
City GARLAND
State TX
Zip Code 75043-8263

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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City GARLAND
Zip Code 75043

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Dataset Information

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.

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