Provider Demographics
NPI:1710942719
Name:CARTER, JAMES (CRNA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:CARTER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 RIVER TER
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3417
Mailing Address - Country:US
Mailing Address - Phone:830-627-8988
Mailing Address - Fax:
Practice Address - Street 1:1081 RIVER TER
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3417
Practice Address - Country:US
Practice Address - Phone:830-627-8988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554002367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8931UCOtherTX BCBS
TX04-3628717OtherCLAY CARTER CRNA, PC
TX104461OtherSUPERIOR
TX160955401Medicaid
TX003359909Medicaid
TX003359906Medicaid
TX532365185OtherTAX ID BLUEBONNET ANESTH.
TXBCBSOther84738U
TXBCBSOther84738U