Provider Demographics
NPI:1689134983
Name:SULZER, CARSEN NOEL (MD)
Entity type:Individual
Prefix:DR
First Name:CARSEN
Middle Name:NOEL
Last Name:SULZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4847 WILLIAMS DR STE 109
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-2420
Mailing Address - Country:US
Mailing Address - Phone:737-284-3600
Mailing Address - Fax:
Practice Address - Street 1:4847 WILLIAMS DR STE 109
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-2420
Practice Address - Country:US
Practice Address - Phone:737-284-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10130952084P0800X
390200000X
TXV76582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program