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Contact Information

THERESA CARLSON, AGACNP-BC
4708 ALLIANCE BLVD STE 600
PLANO, TX75093-5368
 Phone: 469-467-0011
 Fax: 469-467-4923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for THERESA CARLSON · (Female)

NPI # 1861864860
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 10/29/2015
Last updated 07/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AP129474
  • TX Medicaid 360325001
  • TX Medicaid 360325002
Hospital affiliation(s)
  • BAYLOR MEDICAL CENTER AT MCKINNEY - (Acute Care)
    5252 WEST UNIVERSITY DRIVE
    MC KINNEY, TX 75071
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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