Individual
DR. JACOB CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092-6279
(817) 416-8080
Mailing address
455 NORTHWEST HWY APT 3302, IRVING, TX 75039-4245
(501) 920-3713
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME169949
FL
208600000X
Surgery Physician
E-15020
AR
208600000X
Surgery Physician
Primary
T5085
TX
208600000X
Surgery Physician
TRN27888
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
03/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us