Healthcare Provider Details

I. General information

NPI: 1326455189
Provider Name (Legal Business Name): NOEL CHRISTINA CARTER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2014
Last Update Date: 07/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1779 N ZARAGOZA RD STE A
EL PASO TX
79936-8028
US

IV. Provider business mailing address

2204 BARNETT DR C/O JENNIFER CRUZ
CEDAR PARK TX
78613-6016
US

V. Phone/Fax

Practice location:
  • Phone: 915-855-6466
  • Fax: 915-855-6181
Mailing address:
  • Phone: 512-350-0553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1194682
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: