Provider Demographics
NPI:1639180342
Name:LLAUGER-MIER, CARMEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:E
Last Name:LLAUGER-MIER
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 1:3102 KINGS RD APT 2106
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-1326
Mailing Address - Country:US
Mailing Address - Phone:210-857-6454
Mailing Address - Fax:
Practice Address - Street 1:4600 SAMUELL BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-6827
Practice Address - Country:US
Practice Address - Phone:214-381-7181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ09902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G8564OtherBCBSTXBILLING#
TXJ0990OtherLICENSE#
TX8G8564OtherBCBSTXBILLING#
TXE22875Medicare UPIN