Provider Demographics
NPI:1285815977
Name:CARTE, ESTOL TAYLOR JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTOL
Middle Name:TAYLOR
Last Name:CARTE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:22 EAGLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1609
Mailing Address - Country:US
Mailing Address - Phone:415-383-3164
Mailing Address - Fax:415-444-2369
Practice Address - Street 1:99 MONTECILLO RD
Practice Address - Street 2:MOB II
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3308
Practice Address - Country:US
Practice Address - Phone:415-444-2159
Practice Address - Fax:415-444-2369
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA22268302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
11818OtherAMERICAN BOARD OF PEDIATR
CAA22268OtherCALIFORNIA
AC2019796OtherBNDD