Individual
DR. GRADY LEE CARTER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 S MAIN ST, SUITE 260, KELLER, TX 76248-7029
(972) 393-8067
Mailing address
6137 HALEY LN, FORT WORTH, TX 76132-3876
(214) 914-6773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E1530
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E1530
TX
Other
Enumeration date
02/12/2007
Last updated
04/26/2016
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