# DR ROBIN CARSON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093352775
- **Authorized official:** DR. ROBIN M CARSON DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (918) 960-2827

## Contact information

- **Practice address:** 5010 E 68TH ST STE 200, TULSA, OK 74136-3305
- **Practice address phone:** (918) 960-2827
- **Practice address fax:** (918) 960-2824
- **Mailing address:** 5010 E 68TH ST STE 200, TULSA, OK 74136-3305
- **Mailing address phone:** (918) 960-2827
- **Mailing address fax:** (918) 960-2824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2019
- **Last updated:** 12/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200010990A | — | OK |
| 01 | — | 3652 | LICENSE \# | OK |