Individual
BILLY DAN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2026 S. JACKSON, JACKSONVILLE, TX 75766
(903) 586-5678
(903) 541-0790
Mailing address
PO BOX 847522, DALLAS, TX 75284-7522
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104178207
—
TX
01
—
8A9567
BCBS
TX
Enumeration date
02/07/2006
Last updated
10/10/2014
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