Carter, Stephanie S

Carter, Stephanie S is an individual health care provider with primary practice located at 703 S Fleishel Ave Ste 4000 , Tyler TX 75701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carter, Stephanie S can be contacted via phone (903) 606-7000.

Contact Information

Primary practice address
703 S Fleishel Ave Ste 4000 Tyler TX 75701
Phone: (903) 606-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03801 Texas

Profile Details

NPI number 1376535054
LBN Legal business name Carter, Stephanie S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated May 18th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376535054 NPPES
Texas Other 75-2616977-042 TRICARE
Texas Other 846N82 TRICARE
Texas MEDICAID 184586901 TRICARE
Texas Other 8N8507 TRICARE
Texas Other P02007954 TRICARE
Texas MEDICAID 184586902 TRICARE

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