Carlson, Gregory B

Carlson, Gregory B is an individual health care provider with primary practice located at 5012 S Us Highway 75 Suite 300, Denison TX 75020-4587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlson, Gregory B can be contacted via phone (903) 416-6025.

Contact Information

Primary practice address
5012 S Us Highway 75 Suite 300 Denison TX 75020-4587
Fax: (903) 416-6138
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K0666 Texas

Profile Details

NPI number 1386694438
LBN Legal business name Carlson, Gregory B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386694438 NPPES
Texas MEDICAID 044508201

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