Individual
MICHAEL KIRK CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8591 S BROADWAY AVE, TYLER, TX 75703-5470
(903) 606-8840
Mailing address
3202 STATE HIGHWAY 42 S, HENDERSON, TX 75654-8126
(903) 360-1804
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
687234
TX
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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