Individual
CORBIN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7930 BELT LINE RD, DALLAS, TX 75254-8130
(972) 716-0937
Mailing address
4110 FAIRMOUNT ST, 4103, DALLAS, TX 75219-3349
(936) 520-6928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56765
TX
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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