Provider Demographics
NPI:1033290119
Name:CARTER, GREGORY STERLING (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:STERLING
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 WELBORN ST
Mailing Address - Street 2:UNIT E
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4819
Mailing Address - Country:US
Mailing Address - Phone:214-236-3306
Mailing Address - Fax:214-645-5339
Practice Address - Street 1:5939 HARRY HINES BLVD.
Practice Address - Street 2:SLEEP AND BREATHING DISORDERS CENTER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-8842
Practice Address - Country:US
Practice Address - Phone:214-645-5337
Practice Address - Fax:214-645-5339
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG64812084N0600X, 2084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046994203Medicaid
TX8L8996Medicare PIN
TX046994203Medicaid