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Individual

DR. RICHARD FLOYD CARLSON III

Active
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Individual

DR. RICHARD FLOYD CARLSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

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