Individual
YOLANDIS EVETT CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(903) 331-5167
Mailing address
939 BAKER ST, FORT WORTH, TX 76104-7209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
170049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
04/26/2018
Last updated
04/26/2018
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