Provider Demographics
NPI:1982606489
Name:CARTER, SARAH B (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:B
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:B
Other - Last Name:ENDICOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7771 E HIGHWAY 153
Mailing Address - Street 2:
Mailing Address - City:WINTERS
Mailing Address - State:TX
Mailing Address - Zip Code:79567
Mailing Address - Country:US
Mailing Address - Phone:325-754-1317
Mailing Address - Fax:325-754-1208
Practice Address - Street 1:7771 E HIGHWAY 153
Practice Address - Street 2:
Practice Address - City:WINTERS
Practice Address - State:TX
Practice Address - Zip Code:79567
Practice Address - Country:US
Practice Address - Phone:325-754-1317
Practice Address - Fax:325-754-1208
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4920207QA0000X, 207QG0300X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154456102Medicaid
H72171Medicare UPIN