Carlson, Theresa
Carlson, Theresa is an individual health care provider with primary practice located at 4708 Alliance Blvd Ste 600 , Plano TX 75093-5368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Carlson, Theresa can be contacted via phone (469) 467-0011.Contact Information
Primary practice address
4708 Alliance Blvd Ste 600
Plano TX 75093-5368
Phone: (469) 467-0011
Fax: (469) 467-4923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP129474 | Texas |
Profile Details
| NPI number | 1861864860 |
|---|---|
| LBN Legal business name | Carlson, Theresa |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2015 |
| Last updated | Jul 13th, 2020 - about 4 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 | 1861864860 | NPPES |
| Texas | MEDICAID | 360325002 | |
| Texas | MEDICAID | 360325001 |
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