Basic Information
Provider Information
NPI: 1992124325
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARLIN
FirstName: JOSEPH
MiddleName: PATRICK
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 844658
Address2:  
City: DALLAS
State: TX
PostalCode: 752844658
CountryCode: US
TelephoneNumber: 8009940371
FaxNumber:  
Practice Location
Address1: 2401 S 31ST ST
Address2:  
City: TEMPLE
State: TX
PostalCode: 765080001
CountryCode: US
TelephoneNumber: 2547242111
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2014
LastUpdateDate: 10/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RP1001XS5136TXY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


Home