Fairbanks, Carson L

Fairbanks, Carson L is an individual health care provider with primary practice located at 5900 Altamesa Blvd Ste 100 , Fort Worth TX 76132-5475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Fairbanks, Carson L can be contacted via phone (817) 854-9969.

Contact Information

Primary practice address
5900 Altamesa Blvd Ste 100 Fort Worth TX 76132-5475
Phone: (817) 854-9969
Fax: (817) 845-9965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 53703 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X Q7686 Texas

Profile Details

NPI number 1528324118
LBN Legal business name Fairbanks, Carson L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2012
Last updated Dec 1st, 2022 - about 2 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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