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NPI Code Detail

MEDICARE: EMILY ANN CARTER PA-C

MEDICARE: EMILY ANN CARTER PA-C
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
1363A00000XPhysician Assistant2870OK

General Provider Information

NPI Number : 1003324518
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ANN CARTER PA-C
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1200
Second Line :
City : TULSA
State : OK
Zip : 74136-3333
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6160 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1930
Country : US
Telephone Number : 918-495-2600
Fax Number : 918-497-3007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2018
Last Update Date : 12/01/2025

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Directions to “ EMILY ANN CARTER PA-C” Practice Location

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