Individual
CARSON L FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 ALTAMESA BLVD STE 100, FORT WORTH, TX 76132-5475
(817) 854-9969
(817) 845-9965
Mailing address
5900 ALTAMESA BLVD STE 100, FORT WORTH, TX 76132-5475
(817) 854-9969
(803) 604-0854
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Q7686
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
Q7686
TX
Other
Enumeration date
04/09/2012
Last updated
03/17/2026
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