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Individual

DR. CARL E COUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 CLARA BARTON BLVD, SUITE 140, GARLAND, TX 75042-5738
(972) 272-6561
(972) 276-3067
Mailing address
601 CLARA BARTON BLVD, SUITE 140, GARLAND, TX 75042-5738
(972) 272-6561
(972) 276-3067

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D6578
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080081733
RR MEDICARE
TX
05
116427901
TX
Enumeration date
07/24/2006
Last updated
07/29/2009
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