Provider Demographics
NPI:1558459735
Name:NORTON, CAROL BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:BETH
Last Name:NORTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 E PRESIDENT GEORGE BUSH HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4278
Mailing Address - Country:US
Mailing Address - Phone:972-231-9144
Mailing Address - Fax:972-231-9174
Practice Address - Street 1:2821 E PRESIDENT GEORGE BUSH HWY STE 400
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4278
Practice Address - Country:US
Practice Address - Phone:972-231-9144
Practice Address - Fax:972-231-9174
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4759174400000X, 207V00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No174400000XOther Service ProvidersSpecialist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK4759OtherTX STATE LICENSE #
TX1542037-01Medicaid
TX031395904Medicaid
TXK4759OtherTX STATE LICENSE #
TX8284B6Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL #
TX752827580OtherTAX ID NUMBER