P Praxis·MD
● Active Type 1 · Individual

DR. Jacob Carlson, MD

Surgery·Southlake, TX· NPI 1568881282 · Enumerated 2014 · 12 years on NPI
Carlson is 1 of 17 surgery providers in Southlake and 1 of 3028 in Texas.
NPI age
12 years
Enumerated 2014-04-09
Primary specialty
Surgery
Plus 4 subspecialties
Licensed in
TX, AR, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3028 active surgery providers in Texas.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
3 states
Top 88% — 11% of peers are multi-state
Subspecialties
2
In the 27% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
415 E Southlake Blvd Ste 101
Southlake, TX 760926279
📞 8174168080
Mailing address
455 Northwest Hwy Apt 3302
Irving, TX 750394245
📞 5019203713

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
4301 W Markham St
Little Rock, AR 722057101
📞 5016867000
Location 3
1600 Sw Archer Rd
Gainesville, FL 326103003
📞 3522738670

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #T5085AR license #E-15020FL license #TRN27888 taxonomy 208600000X
  • Plastic Surgery
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    FL license #ME169949 taxonomy 208200000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new surgery provider has been added in Southlake in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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