Organization
CARTER HEALTHCARE OF SAN ANGELO, LLC
Active
Other names
Carter Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CARTER (AUTHORIZED OFFICIAL/PRESIDENT)
(405) 947-7700
Entity
Organization
Contact information
Practice address
317 W CHURCH ST STE 106, LIVINGSTON, TX 77351-3242
(281) 241-8264
(281) 376-4357
Mailing address
3105 S MERIDIAN AVE, OKLAHOMA CITY, OK 73119-1022
(405) 947-7700
(405) 947-7300
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
009919
TX
251E00000X
Home Health Agency
009919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179435601
—
TX
Enumeration date
05/01/2006
Last updated
08/28/2024
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