Healthcare Provider Details

I. General information

NPI: 1831801471
Provider Name (Legal Business Name): SAMANTHA DAWN CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA DAWN WILLIAMS

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 DALLAS STREET
TALIHINA OK
74571-9998
US

IV. Provider business mailing address

PO BOX 1355
TALIHINA OK
74571-1355
US

V. Phone/Fax

Practice location:
  • Phone: 918-942-1033
  • Fax: 918-574-6150
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: