Provider Demographics
NPI:1194992594
Name:HERBERT, CARRIE EVANS (MD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:EVANS
Last Name:HERBERT
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 1:7777 FOREST LN STE A337
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2563
Mailing Address - Country:US
Mailing Address - Phone:972-566-5575
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN STE A337
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2563
Practice Address - Country:US
Practice Address - Phone:678-492-0120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 1259452080P0202X
TXN84032080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology