Organization
JEROME O. CARTER, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUDE A. OSSORIO ADMINISTRATOR (ADMINISTRATOR)
(713) 995-0042
Entity
Organization
Contact information
Practice address
4200 GARTH ROAD, SUITE 212, BAYTOWN, TX 77521
(281) 420-9355
(281) 420-9332
Mailing address
4200 GARTH ROAD, SUITE 212, BAYTOWN, TX 77521
(281) 420-9355
(281) 420-9332
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
L8298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032NV
BLUE CROSS BLUE SHEILD
TX
Enumeration date
08/01/2006
Last updated
06/21/2018
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