Provider Demographics
NPI:1487926119
Name:MICHAELS, CARLA KAY (DO)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:KAY
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:120 E FM 544
Mailing Address - Street 2:STE 72
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4034
Mailing Address - Country:US
Mailing Address - Phone:972-253-1540
Mailing Address - Fax:972-253-1835
Practice Address - Street 1:615 N O CONNOR RD
Practice Address - Street 2:STE 12
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7597
Practice Address - Country:US
Practice Address - Phone:972-253-1540
Practice Address - Fax:972-253-1835
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK0934207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine