Provider Demographics
NPI:1326455189
Name:CARTER, NOEL CHRISTINA (PT)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:CHRISTINA
Last Name:CARTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 BARNETT DR
Mailing Address - Street 2:C/O JENNIFER CRUZ
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6016
Mailing Address - Country:US
Mailing Address - Phone:512-350-0553
Mailing Address - Fax:
Practice Address - Street 1:1779 N ZARAGOZA RD STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-8028
Practice Address - Country:US
Practice Address - Phone:915-855-6466
Practice Address - Fax:915-855-6181
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1194682225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist