Mark D Carlson
Internist Family Doctor - Geriatric Medicine Hematology & Oncology
1905 S Lakeline Blvd Ste 4
Cedar Park
, Texas 78613
Mark D Carlson
Internist Family Doctor - Geriatric Medicine Hematology & Oncology
1905 S Lakeline Blvd Ste 4
Cedar Park
, Texas 78613
(512) 553-1921
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
- Internist
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Mark D Carlson
- 1905 S Lakeline Blvd Ste 4
- Cedar Park, TX
- Zip : 78613-4660
- Phone : (512) 553-1921
Second Address
- Mark D Carlson
- 1905 S Lakeline Blvd Ste 4
- Cedar Park, TX
- Zip : 78613
- Phone : (512) 553-1921
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QG0300X | Family Doctor - Geriatric Medicine | Q2258 | TX |
| Y | 207R00000X | Internist | Q2258 | TX |
| Y | 111NI0900X | Internist | Q2258 | TX |
| N | 207RH0003X | Hematology & Oncology | 21230 | NE |
| N | 207RH0003X | Hematology & Oncology | Q2258 | TX |
National Provider Identifier
| NPI | 1023008398 |
|---|---|
| Provider Name | Mark D Carlson |
| First Address | Cedar Park, TX 78613-4660 |
| Second Address | Cedar Park, TX 78613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2005 |
| Last Update Date | 16/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02601 | BCBS (01) | NE |
| 200269020A | (05) | KS |
| 3600078 | UHC (01) | NE |
| 6452 | MIDLANDS CHOICE (01) | NE |
| 91186278513 | (05) | NE |
| F53907 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.