National Provider Identifier Database

LACRESHA Q CARSON, FNP-BC – NPI #1285201582
Family


Contact Information

LACRESHA Q CARSON, FNP-BC
6213 RYAN CREEK RD
FORT WORTH, TX76179-7727
Phone: 903-701-8032
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Pain Medicine 208VP0000X
Physical Medicine & Rehabilitation 208100000X

* Indicates primary specialty

NPI Profile & details for LACRESHA Q CARSON

NPI Number 1285201582
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/07/2021
Last updated 01/18/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 1019234
Hospital affiliation n/a

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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