Search › Texas › 208600000X
Jacob Carlson, MD
NPI 1568881282 · on the registry since 2014
Practice
- Address
- 415 E Southlake Blvd Ste 101
Southlake, TX 76092 - Phone
- (817) 416-8080
- Organisation at this address
- Mediclinkmd One-P Llc
Virtuoso Surgery Center
Mediclink Management GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 1600 Sw Archer Rd, Gainesville, FL
- 4301 W Markham St, Little Rock, AR
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
390200000X
208200000X
208600000X - Licence states on file
- AR, FL, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas