Carlson, Mark D
Carlson, Mark D is an individual health care provider with primary practice located at 1905 S Lakeline Blvd Ste 4 , Cedar Park TX 78613. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Carlson, Mark D can be contacted via phone (512) 553-1921.Contact Information
Primary practice address
1905 S Lakeline Blvd Ste 4
Cedar Park TX 78613
Phone: (512) 553-1921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | Q2258 | Texas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 21230 | Nebraska |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | Q2258 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Q2258 | Texas |
Profile Details
| NPI number | 1023008398 |
|---|---|
| LBN Legal business name | Carlson, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 16th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023008398 | NPPES |
| Nebraska | Other | 02601 | BCBS |
| Nebraska | MEDICAID | 200269020A | BCBS |
| Nebraska | Other | 3600078 | BCBS |
| Nebraska | Other | 6452 | BCBS |
| Nebraska | MEDICAID | 91186278513 | BCBS |
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