MEDICARE: SHELBY H. CARTER III 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	207X00000X	Orthopaedic Surgery Physician	H9048	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	817425	OTHER	TX	BCBS
4	4293049	OTHER	TX	AETNA TRS
5	91043	OTHER	TX	SCOTT & WHITE

General Provider Information

NPI Number	:	1417987983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY H. CARTER III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 26726
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78755-0726
Country	:	US
Telephone Number	:	512-407-8686
Fax Number	:	512-421-4489

Provider Business Practice Location Address
First Line	:	1301 W 38TH ST STE 102
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-1010
Country	:	US
Telephone Number	:	512-454-4561
Fax Number	:	512-467-2906

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	02/09/2022

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Directions to “ SHELBY H. CARTER III M.D.” Practice Location

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