Provider Demographics
NPI:1891884409
Name:CARTER, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:313 E ANDERSON LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1236
Mailing Address - Country:US
Mailing Address - Phone:512-302-6500
Mailing Address - Fax:512-833-7945
Practice Address - Street 1:313 E ANDERSON LN
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1236
Practice Address - Country:US
Practice Address - Phone:512-302-6500
Practice Address - Fax:512-833-7945
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH7543207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXEPSD03504Medicaid