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

Luke Wallace Carson, MD

Individual provider Psychiatry Physician · NPI 1417319997

Luke Wallace Carson, MD is a Psychiatry Physician in Fort Worth, Texas. Licensed in Arizona, California, Texas and Vermont. Registered with an NPI since 2016.

Licensed in
AZ, CA, TX, VT
In the registry since
2016
Specialties on file
4
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

1315 S Adams St
Fort Worth, TX 76104-4404
Phone: (833) 484-6359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence T4501 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence A150883 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 77909 (AZ)
Psychiatry Physician Taxonomy 2084P0800X · Licence 042.0018472 (VT)

Record details

NPI number1417319997
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2016
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address1830 E Broadway Blvd Ste 124-95, Tucson, AZ 85719-5966

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