Provider Demographics
NPI:1649915778
Name:CARTER, CHRISTAL LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTAL
Middle Name:LYNN
Last Name:CARTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHRISTAL
Other - Middle Name:LYNN
Other - Last Name:YUHAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14701 SAN PEDRO AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4355
Mailing Address - Country:US
Mailing Address - Phone:210-858-6127
Mailing Address - Fax:726-238-7196
Practice Address - Street 1:14701 SAN PEDRO AVE STE 240
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4355
Practice Address - Country:US
Practice Address - Phone:210-858-6127
Practice Address - Fax:726-238-7196
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1035144363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily