Provider Demographics
NPI:1982648655
Name:LENARSKY, CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:
Last Name:LENARSKY
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:7777 FOREST LN BLDG D
Practice Address - Street 2:SUITE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-6647
Practice Address - Fax:972-566-6496
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ97392080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132169708Medicaid
TX132169701Medicaid
TX132169707Medicaid
NM000J5753Medicaid
TX045833301Medicaid
OK100007460AMedicaid
TX132169703Medicaid
TX132169705OtherCSHSN
TX132169711Medicaid
TX143212201OtherCSHCN
TX132169706Medicaid
TX8R1492OtherBLUE CROSS OF TX
TXB56992Medicare UPIN
TX132169706Medicaid
TX132169703Medicaid
TX132169701Medicaid
TX045833301Medicaid
TX8B9394Medicare PIN