Individual
THOMAS A CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 N LAMAR BLVD, SUITE 300, AUSTIN, TX 78756-4080
(512) 206-4341
(512) 407-1947
Mailing address
7800 SHOAL CREEK BLVD, SUITE 205N, AUSTIN, TX 78757-1098
(512) 206-4300
(512) 206-4350
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
J3065
TX
207RI0011X
Interventional Cardiology Physician
Primary
J3065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044491103
—
TX
Enumeration date
03/31/2006
Last updated
10/16/2014
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