Provider Demographics
NPI:1013904499
Name:ASHWORTH, CAROLYN DICKSON (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:DICKSON
Last Name:ASHWORTH
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 1:3721 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7755
Mailing Address - Country:US
Mailing Address - Phone:972-867-6880
Mailing Address - Fax:972-596-0879
Practice Address - Street 1:3721 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7755
Practice Address - Country:US
Practice Address - Phone:972-867-6880
Practice Address - Fax:972-596-0879
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care