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Individual

DR. CHAD M CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7125 N BEACH ST, FORT WORTH, TX 76137-1812
(817) 232-2321
(817) 232-4933
Mailing address
7125 N BEACH ST, FORT WORTH, TX 76137-1812
(817) 232-2321
(817) 232-4933

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7631T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7613T
TEXAS OPTOMETRY BOARD
TX
Enumeration date
07/23/2010
Last updated
07/23/2010
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