Individual
DR. JOHN DANIEL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 GASLIGHT BLVD, SUITE 2, LUFKIN, TX 75904-3166
(936) 634-8800
(936) 630-8875
Mailing address
208 GASLIGHT BLVD, SUITE 2, LUFKIN, TX 75904-3166
(936) 634-8800
(936) 630-8875
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E2501
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
E2501
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
E2501
TX
207XX0801X
Orthopaedic Trauma Physician
E2501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089597103
—
TX
01
—
116772
SUPERIOR
TX
01
—
4413250
AETNA
TX
01
—
5577002001
CIGNA
TX
01
—
CS6860
RAIL ROAD MEDICARE
TX
Enumeration date
10/27/2006
Last updated
07/21/2011
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