Provider Demographics
NPI:1295802668
Name:CARTER, KAYWIN MAHONEY (MD)
Entity type:Individual
Prefix:DR
First Name:KAYWIN
Middle Name:MAHONEY
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17521 ST LUKES WAY STE 180
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-8040
Mailing Address - Country:US
Mailing Address - Phone:936-266-3516
Mailing Address - Fax:
Practice Address - Street 1:1105 W FRANK AVE STE 110
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3302
Practice Address - Country:US
Practice Address - Phone:936-634-1620
Practice Address - Fax:936-639-8972
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3992207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113884401Medicaid
TX113884401Medicaid
TX87W380Medicare PIN