Individual
MR. ANGELO CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(817) 730-0005
Mailing address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(817) 730-0005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02534
TX
Other
Enumeration date
03/21/2006
Last updated
06/24/2021
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