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Individual

JASON D CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
208 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 634-8800
Mailing address
208 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 634-8800

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N1575
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203350801
TX
Enumeration date
07/12/2006
Last updated
09/15/2009
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