| Doctor Name: | MRS. CAROL J NELSON |
| NPI Number: | 1508959479 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA02477 |
| Business Practice Address: | 100 Municipal Dr Gun Barrel City, TX - 751563702 |
| Business Phone Number: | 9037131511 |
| Business Fax Number: | 9037131519 |
| Mailing Address: | 344 Nw Cr 2171, BARRY |
| State: | TX |
| Postal Code: | 75102 |
| Phone Number: | 9032297367 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 03/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PE0004X |
| License Number: | PA02477 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Emergency Medical Services |
| Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |