Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Jill Vandiver, MD

Individual provider Diagnostic Radiology Physician · NPI 1790733475

Carolyn Jill Vandiver, MD is a Diagnostic Radiology in Desoto, Texas. Graduated from Michigan State University College of Human Medicine in 1993, 33 years ago. Practices with Methodist-Cdi, a 44-clinician group. Licensed in Texas.

Years since qualifying
33
Trained at
Michigan State University College of Human Medicine
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1750 N Hampton Rd
Desoto, TX 75115-2306
Phone: (214) 946-4397
Fax: (214) 946-4399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence K8548 (TX)

Record details

NPI number1790733475
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESMarch 11, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1993 (33 years in practice)
Group practice Methodist-Cdi — 44 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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