Organization
J. DAN CARTER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DANIEL CARTER M.D. (PRESIDENT)
(936) 634-8800
Entity
Organization
Contact information
Practice address
208 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 630-8800
(936) 630-8875
Mailing address
208 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 634-8800
(936) 630-8875
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E2501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206865201
—
TX
Enumeration date
02/19/2008
Last updated
07/20/2011
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