Individual
DR. CARSON TAN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 W GRAND PKWY N STE 310, KATY, TX 77493-2735
(281) 599-3222
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K0112
TX
207RI0200X
Infectious Disease Physician
K0112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100651203
—
TX
Enumeration date
03/29/2006
Last updated
08/15/2025
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