Individual
DR. RICHARD FLOYD CARLSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M0680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173989801
—
TX
05
—
173989802 (MDACC)
—
TX
01
—
8CN003
BCBS (MDACC)
TX
01
—
8S4397
BC/BS
TX
01
—
P01003249
RR MEDICARE (MDACC)
TX
Enumeration date
06/20/2006
Last updated
07/19/2012
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