Dr Misty Dawn Carlson, DO | |
Bamc 3851 Roger Brooke Dr, Mche-qd (cred), Ft Sam Houston, TX 78234-6200 | |
(210) 916-3027 | |
Not Available |
Full Name | Dr Misty Dawn Carlson |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | Bamc 3851 Roger Brooke Dr, Ft Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083662324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 457 (Nebraska) | Primary |
Entity Name | Omaha Tribe Of Nebraska |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114922143 PECOS PAC ID: 4981664406 Enrollment ID: O20050309001036 |
Mailing Address | Practice Location Address |
---|---|
Dr Misty Dawn Carlson, DO 250 Treeline Park, #1315, San Antonio, TX 78209-1882 Ph: (210) 364-0960 | Dr Misty Dawn Carlson, DO Bamc 3851 Roger Brooke Dr, Mche-qd (cred), Ft Sam Houston, TX 78234-6200 Ph: (210) 916-3027 |
Dr. Leo D. Tucker Ii, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2377 Greeley Road, Suite H, Ft Sam Houston, TX 78234 Phone: 210-221-0938 Fax: 210-221-0067 | |
Dr. Lisa Lynn Zacher, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Bamc Credentials: Mche-qd, 3851 Roger Brooke Drive, Ft Sam Houston, TX 78234 Phone: 210-916-1404 Fax: 210-916-0700 |