Provider Demographics
NPI:1760910350
Name:CARLTON BARIATRICS PA
Entity Type:Organization
Organization Name:CARLTON BARIATRICS PA
Other - Org Name:LONESTAR BARIATRICS PA
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACS FASMSBS
Authorized Official - Phone:972-232-7171
Mailing Address - Street 1:5757 WARREN PKWY STE 204
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4206
Mailing Address - Country:US
Mailing Address - Phone:972-232-7171
Mailing Address - Fax:972-674-8360
Practice Address - Street 1:5757 WARREN PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4274
Practice Address - Country:US
Practice Address - Phone:972-232-7171
Practice Address - Fax:972-674-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-26
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5606208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty