Individual
MRS. EMILY BROOKE CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4922 W HANOVER AVE, DALLAS, TX 75209-3216
(202) 271-1097
Mailing address
4922 W HANOVER AVE, DALLAS, TX 75209-3216
(202) 271-1097
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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