Individual
DR. ANNA CARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, SUITE 200, DALLAS, TX 75265-0865
(972) 715-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N0677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1813966
—
LA
05
—
203828303
—
TX
01
—
8CB094
BLUE CROSS BLUE SHIELD
TX
01
—
P00751645
MEDICARE RAILROAD
TX
Enumeration date
10/06/2008
Last updated
10/05/2015
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