Individual
MARLA K CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS--SLP
Contact information
Practice address
1216 KAREN DR, ALTUS, OK 73521-6935
(580) 284-7408
Mailing address
1216 KAREN DR, ALTUS, OK 73521-6935
(580) 284-7408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
102597
TX
235Z00000X
Speech-Language Pathologist
Primary
2393
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111408401
—
TX
05
—
111408402
—
TX
01
—
87623T
BCBS OF TEXAS #
TX
Enumeration date
11/01/2006
Last updated
10/15/2024
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