Provider Demographics
NPI:1871630525
Name:CARLBERG, MATTHEW ANDERS (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ANDERS
Last Name:CARLBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:15 WALLER ST
Mailing Address - Street 2:5TH FLOOR, ATTN: FINANCE
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-5240
Mailing Address - Country:US
Mailing Address - Phone:512-978-9000
Mailing Address - Fax:
Practice Address - Street 1:500 EAST 7TH STREET
Practice Address - Street 2:ARCH HOMELESS CLINIC
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3319
Practice Address - Country:US
Practice Address - Phone:512-978-9929
Practice Address - Fax:512-978-8129
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8622207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine