Individual
DR. ROBERT R CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 N UNIVERSITY DR STE A, NACOGDOCHES, TX 75961-4270
(936) 568-9600
Mailing address
PO BOX 157, LOVELADY, TX 75851-0157
(970) 580-6910
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
10187
SD
208600000X
Surgery Physician
33347
IA
208600000X
Surgery Physician
5647
CO
208600000X
Surgery Physician
Primary
K3890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020045344
RAILROAD MEDICARE
—
05
—
0205799
—
IA
01
—
056885
HEALTH ALLIANCE
—
01
—
149900
IOWA HEALTH SOLUTIONS
—
01
—
15690
WELLMARK BC/BS
IA
01
—
18978
MIDLANDS CHOICE
—
01
—
IA 0184
JOHN DEERE HEALTH
—
Enumeration date
05/05/2006
Last updated
10/01/2024
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