Provider Demographics
NPI:1437240876
Name:CARTRETT, DOYCE LEE JR (MD)
Entity Type:Individual
Prefix:
First Name:DOYCE
Middle Name:LEE
Last Name:CARTRETT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 HIGHWAY 418 E
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-3729
Mailing Address - Country:US
Mailing Address - Phone:409-386-1200
Mailing Address - Fax:409-386-1219
Practice Address - Street 1:280 HIGHWAY 418 E
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-3729
Practice Address - Country:US
Practice Address - Phone:409-386-1200
Practice Address - Fax:409-386-1219
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7688207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6107942OtherCIGNA
TX080194334OtherMEDICARE RR
TX037501602Medicaid
TX8H4830OtherBCBS
2079765OtherUNITED HEALTHCARE
6107942OtherCIGNA
TX401764ZNDZMedicare PIN