Provider Demographics
NPI:1225053622
Name:CARLEY, MICHAEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:CARLEY
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 1:4501 SWISS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204
Mailing Address - Country:US
Mailing Address - Phone:214-820-8700
Mailing Address - Fax:214-818-8707
Practice Address - Street 1:4501 SWISS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204
Practice Address - Country:US
Practice Address - Phone:214-820-8700
Practice Address - Fax:214-818-8707
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2867207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153641905Medicaid
TX153641903Medicaid
TX8G0554OtherBCBS
TX153641904Medicaid
TX153641901Medicaid
TX153641906Medicaid
TX8C7568Medicare PIN
TX8696B7Medicare PIN
TX8L27481Medicare PIN
TX153641904Medicaid
TX153641901Medicaid
TXTXB100123Medicare PIN
TX8G0554OtherBCBS
TXB100123Medicare UPIN
TX294199YQSFMedicare PIN
TX160058346Medicare PIN
TXP00844332Medicare PIN
TX8A5129Medicare PIN