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General NPI Number Information
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NPI Number | 1538165550
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Entity Type | Individual
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Provider Name | TOM STEPHEN CARTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1015 E BROADWAY ST STE 102
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City | ALTUS
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State | OK
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Zip | 73521-5506
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Country | US
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Telephone | 580-480-1600
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Fax | 580-480-1601
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Provider Business Mailing Address
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Address Line | 1001 HWY 83 N
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City | CHILDRESS
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State | TX
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Zip | 79201-1030
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Country | US
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Telephone | 940-937-3636
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Fax | 940-937-9644
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 18517
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J6895
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | J6895
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18517
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License Number State | OK
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