Healthcare Provider Details

I. General information

NPI: 1972959161
Provider Name (Legal Business Name): DARLENE DAO CARTER D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5925 FOREST LN STE 121
DALLAS TX
75230-6101
US

IV. Provider business mailing address

5925 FOREST LN STE 121
DALLAS TX
75230-6101
US

V. Phone/Fax

Practice location:
  • Phone: 972-385-0002
  • Fax:
Mailing address:
  • Phone: 972-385-0002
  • Fax: 214-660-2585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number2214
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: