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NPI Code Detail

MEDICARE: CARTER MAPLES PA-S

MEDICARE:   CARTER  MAPLES  PA-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171000000XMilitary Health Care ProviderTX

General Provider Information

NPI Number : 1164000386
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARTER MAPLES PA-S
Provider Business Mailing Address
First Line : 741 MARSHALL ROAD
Second Line :
City : FORT BLISS
State : AA
Zip : 79916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 567-288-0098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 03/25/2026

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Directions to “ CARTER MAPLES PA-S” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.