Provider Demographics
NPI:1700073467
Name:CARLSON, DENNIS COLMAN (DC, MSN, APRN, NP-C)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:COLMAN
Last Name:CARLSON
Suffix:
Gender:M
Credentials:DC, MSN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 W JASPER DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-1319
Mailing Address - Country:US
Mailing Address - Phone:254-526-6151
Mailing Address - Fax:
Practice Address - Street 1:1018 W JASPER DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-1319
Practice Address - Country:US
Practice Address - Phone:254-526-6151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132618363LF0000X
TX9600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily