Provider Demographics
NPI:1275652901
Name:KAYWIN M. CARTER, M.D.
Entity Type:Organization
Organization Name:KAYWIN M. CARTER, M.D.
Other - Org Name:KAYWIN M. CARTER, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:936-632-1533
Mailing Address - Street 1:503 S JOHN REDDITT DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3120
Mailing Address - Country:US
Mailing Address - Phone:936-632-1533
Mailing Address - Fax:936-632-1726
Practice Address - Street 1:503 S JOHN REDDITT DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3120
Practice Address - Country:US
Practice Address - Phone:936-632-1533
Practice Address - Fax:936-632-1726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3992174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty