Provider Demographics
NPI:1801847793
Name:MARLING, CARL KELLEY (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:KELLEY
Last Name:MARLING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1850 CENTRAL DR
Mailing Address - Street 2:STE C
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5821
Mailing Address - Country:US
Mailing Address - Phone:817-283-6607
Mailing Address - Fax:817-283-2674
Practice Address - Street 1:1850 CENTRAL DR
Practice Address - Street 2:STE C
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5821
Practice Address - Country:US
Practice Address - Phone:817-283-6607
Practice Address - Fax:817-283-2674
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2011-08-16
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Provider Licenses
StateLicense IDTaxonomies
TXD9844207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115603601Medicaid
00U778Medicare ID - Type Unspecified
TX115603601Medicaid