Individual
CAROL ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2113
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35351
DC
2084P0800X
Psychiatry Physician
Primary
S1969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399425301
—
TX
01
—
824679
MEDICARE
TX
Enumeration date
12/14/2005
Last updated
09/10/2021
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