Individual
LYNN S CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST STE 470, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
6701 FANNIN ST STE 470, HOUSTON, TX 77030-2608
(832) 824-1000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
46677
TN
2085P0229X
Pediatric Radiology Physician
Primary
M3957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00374021
MEDICARE RAILROAD
—
Enumeration date
08/10/2006
Last updated
11/16/2022
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