Individual
DR. THEODORE JOHN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8210 WALNUT HILL LANE, SUITE 208, DALLAS, TX 75231
(214) 363-0000
(214) 363-0713
Mailing address
8210 WALNUT HILL LANE, SUITE 208, DALLAS, TX 75231
(214) 363-0000
(214) 363-0713
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G4893
TX
Other
Enumeration date
05/09/2006
Last updated
11/06/2012
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