MEDICARE: DR. JULIAN GAYDEN CARTER M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	F1436	TX

General Provider Information

NPI Number	:	1093711046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIAN GAYDEN CARTER M.D.

Provider Business Mailing Address
First Line	:	1311 N WASHINGTON AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6501
Country	:	US
Telephone Number	:	214-824-2563
Fax Number	:	214-824-3353

Provider Business Practice Location Address
First Line	:	1311 N WASHINGTON AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6501
Country	:	US
Telephone Number	:	214-824-2563
Fax Number	:	214-824-3353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	09/19/2023

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