Individual
MR. MARCUS ANTONIO CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST/CSFA
Contact information
Practice address
2902 LADD LN, LONGVIEW, TX 75604-1519
(903) 220-1848
(903) 807-0023
Mailing address
2902 LADD LN, LONGVIEW, TX 75604-1519
(903) 220-1848
(903) 807-0023
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
127211
CO
Other
Enumeration date
11/11/2012
Last updated
11/16/2012
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