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NPI Code Detail

MEDICARE: MRS. GINA R CARTER MAMFC, MARE

MEDICARE: MRS. GINA R CARTER MAMFC, MARE
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
1101YP2500XProfessional Counselor14586TX

General Provider Information

NPI Number : 1225466428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA R CARTER MAMFC, MARE
Provider Business Mailing Address
First Line : 9429 WINDMILL PT
Second Line :
City : FRISCO
State : TX
Zip : 75033-7670
Country : US
Telephone Number : 512-633-5544
Fax Number :
Provider Business Practice Location Address
First Line : 5601 DEMOCRACY DR STE 225
Second Line :
City : PLANO
State : TX
Zip : 75024-3699
Country : US
Telephone Number : 512-633-5544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2013
Last Update Date : 10/24/2013

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