MEDICARE: DR. JOY PFANNSTIEL 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	P2607	TX

General Provider Information

NPI Number	:	1164631412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOY PFANNSTIEL CARTER M.D.

Provider Business Mailing Address
First Line	:	1125 HIGHWAY 3 N
Second Line	:	SUITE 130A
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-4048
Country	:	US
Telephone Number	:	409-908-0134
Fax Number	:	409-908-0210

Provider Business Practice Location Address
First Line	:	1125 HIGHWAY 3 N
Second Line	:	SUITE 130A
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-4048
Country	:	US
Telephone Number	:	409-908-0134
Fax Number	:	409-908-0210

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	03/25/2013

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