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DAVID W CARLSON MD PA NPI 1356768006


NPI Information

NPI: 1356768006
Provider Name: DAVID W CARLSON MD PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4402 BROADWAY BLVD
SUITE 1
GARLAND, TX
ZIP 75043
Phone: (972) 240-1789
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DAVID W CARLSON MD PA is a primary care clinic center in Garland, TX. DAVID W CARLSON MD PA NPI is 1356768006. The provider is registered as an organization entity type.

The provider's business location address is:

4402 BROADWAY BLVD
SUITE 1
GARLAND, TX
ZIP 75043-263
Phone: (972) 240-1789

The provider's authorized official is Sylvia Carlson .
The authorized official title is Business Manager and has the following contact phone number (972) 240-1789.

The enumeration date for this NPI number is 3/19/2014 and was last updated on 3/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareHO233TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11700961406OTHERTEXASNPI
2C14201OTHERTEXASUPIN
300B20YMEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.