Basic Information
| Provider Information | |||||||||
| NPI: | 1982648655 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LENARSKY | ||||||||
| FirstName: | CARL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 911230 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753911230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729978000 | ||||||||
| FaxNumber: | 9724379605 | ||||||||
| Practice Location | |||||||||
| Address1: | 7777 FOREST LN BLDG D | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752302505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725666647 | ||||||||
| FaxNumber: | 9725666496 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 07/27/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0207X | J9739 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
ID Information
| ID | Type | State | Issuer | Description | 132169708 | 05 | TX | MEDICAID | 132169701 | 05 | TX | MEDICAID | 132169707 | 05 | TX | MEDICAID | 000J5753 | 05 | NM | MEDICAID | 045833301 | 05 | TX | MEDICAID | 100007460A | 05 | OK | MEDICAID | 132169703 | 05 | TX | MEDICAID | 132169705 | 01 | TX | CSHSN | OTHER | 132169711 | 05 | TX | MEDICAID | 143212201 | 01 | TX | CSHCN | OTHER | 132169706 | 05 | TX | MEDICAID | 8R1492 | 01 | TX | BLUE CROSS OF TX | OTHER |