Doctor Name: | CARRIE LILLIAN CARTER |
NPI Number: | 1588624423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | L9127 |
Business Practice Address: | 8230 Walnut Hill Ln Suite 620 Dallas, TX - 752314482 |
Business Phone Number: | 2143733475 |
Business Fax Number: | 2143733476 |
Mailing Address: | 8230 Walnut Hill Ln, Suite 620 DALLAS |
State: | TX |
Postal Code: | 752314482 |
Phone Number: | 2143733475 |
Fax Number: | 2143733476 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | L9127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |