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Contact Information

STEPHANIE S CARTER, PA-C
703 S FLEISHEL AVE STE 4000
TYLER, TX75701
 Phone: 903-606-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEPHANIE S CARTER · (Female)

NPI # 1376535054
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/18/2005
Last updated 05/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA03801
  • TX Medicaid 184586901
  • TX Medicaid 184586902
  • TX Other 846N82 BCBS
  • TX Other 8N8507 BCBS OF TEXAS
  • TX Other P02007954 MEDICARE RAIL ROAD
  • TX Other 75-2616977-042 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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