Provider Demographics
NPI:1225038482
Name:ALKIRE, CAREY CHRISTIAN (MD)
Entity Type:Individual
Prefix:MR
First Name:CAREY
Middle Name:CHRISTIAN
Last Name:ALKIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 COWHORN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-9766
Mailing Address - Country:US
Mailing Address - Phone:903-614-3000
Mailing Address - Fax:903-614-3525
Practice Address - Street 1:1002 TEXAS BLVD.
Practice Address - Street 2:SUITE 501
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501
Practice Address - Country:US
Practice Address - Phone:903-792-5005
Practice Address - Fax:903-791-1569
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6255207X00000X
ARR3615207X00000X
LAR013192L105529207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110440803Medicaid
AR94870OtherBCBS
AR112409001Medicaid
AR94870OtherBCBS
AR112409001Medicaid