MEDICARE: CARTERS CARE

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	261QH0100X	Health Service Clinic/Center	26	TX

General Provider Information

NPI Number	:	1437455094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTERS CARE

Provider Business Mailing Address
First Line	:	3911 HIGH POINT LANE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053
Country	:	US
Telephone Number	:	713-935-6202
Fax Number	:	713-413-1223

Provider Business Practice Location Address
First Line	:	3911 HIGH POINT LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-1426
Country	:	US
Telephone Number	:	713-935-6202
Fax Number	:	713-413-1223

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. STEPHANIE RICHARDSON CARTER
Credential	:
Telephone Number	:	713-935-6202

Provider Enumeration Date	:	01/31/2011
Last Update Date	:	01/31/2011

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Directions to “CARTERS CARE ” Practice Location

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