Individual
DAVID LEE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 PINE ST, TEXARKANA, TX 75501-5100
(903) 798-7365
(903) 798-7354
Mailing address
PO BOX 409, TEXARKANA, TX 75504-0409
(903) 798-7365
(903) 798-7354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E6046
TX
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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