Organization
KENNETH P. CARLSON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PHILLIP CARLSON M.D. (DOCTOR)
(817) 468-3911
Entity
Organization
Contact information
Practice address
3125 MATLOCK RD, SUITE 108, ARLINGTON, TX 76015-2920
(817) 468-3911
(817) 468-0374
Mailing address
3125 MATLOCK RD, SUITE 108, ARLINGTON, TX 76015-2920
(817) 468-3911
(817) 468-0374
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E9141
DC
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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