MEDICARE: ASHON CARTER

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
1	156F00000X	Technician/Technologist	21-169605

General Provider Information

NPI Number	:	1861062721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHON CARTER

Provider Business Mailing Address
First Line	:	5005 BUCKBOARD RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-3041
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5005 BUCKBOARD RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-3041
Country	:	US
Telephone Number	:	682-238-9930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2021
Last Update Date	:	07/01/2021

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Directions to “ ASHON CARTER ” Practice Location

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