Organization
DAVID W CARLSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA CARLSON (BUSINESS MANAGER)
(972) 240-1789
Entity
Organization
Contact information
Practice address
4402 BROADWAY BLVD, SUITE 1, GARLAND, TX 75043-8263
(972) 240-1789
Mailing address
4402 BROADWAY BLVD, SUITE 1, GARLAND, TX 75043-8263
(972) 240-1789
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
HO233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700961406
NPI
TX
01
—
C14201
UPIN
TX
Enumeration date
03/19/2014
Last updated
03/19/2014
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