Provider Demographics
NPI:1134307028
Name:CARMAN, IAN JAMES (AUD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:JAMES
Last Name:CARMAN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 S LOOP 288 STE 105
Mailing Address - Street 2:PMB 328
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-4703
Mailing Address - Country:US
Mailing Address - Phone:940-383-9418
Mailing Address - Fax:940-383-9853
Practice Address - Street 1:502 W OAK ST STE 105
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-9083
Practice Address - Country:US
Practice Address - Phone:940-383-9418
Practice Address - Fax:940-383-9853
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51761231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist