Individual
CAROLYN BRANDT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8233 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-2922
(713) 442-2000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037049604
—
TX
05
—
037049605
—
TX
05
—
104760702
—
TX
Enumeration date
07/11/2006
Last updated
06/05/2021
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