MEDICARE: CARL P. MIDDLETON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	N0978	TX
2	208M00000X	Hospitalist Physician	N0978	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	75-2966610	OTHER	TX	TAX IDENTIFICATION NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750566048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL P. MIDDLETON MD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6121 N HWY 161
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-2265
Country	:	US
Telephone Number	:	214-964-0600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	03/02/2026

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Directions to “ CARL P. MIDDLETON MD” Practice Location

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