MEDICARE: DR. GRADY LEE CARTER III D.O.

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	207L00000X	Anesthesiology Physician	E1530	TX
2	208100000X	Physical Medicine & Rehabilitation Physician	E1530	TX

General Provider Information

NPI Number	:	1467594010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRADY LEE CARTER III D.O.

Provider Business Mailing Address
First Line	:	6137 HALEY LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3876
Country	:	US
Telephone Number	:	214-914-6773
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 S MAIN ST
Second Line	:	SUITE 260
City	:	KELLER
State	:	TX
Zip	:	76248-7029
Country	:	US
Telephone Number	:	972-393-8067
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	04/26/2016

Similar Medicare Providers

1871509133 — DR. ANA I. LOPEZ M.D.
Practice Location Address:

601 S MAIN ST
KELLER, TX
76248-7029

Practice Phone: 817-753-6888
Practice Fax: 817-753-6885

1437167046 — DR. KEVIN LIU M.D.
Practice Location Address:

601 S MAIN ST , SUITE 200
KELLER, TX
76248-7029

Practice Phone: 817-753-6888
Practice Fax: 817-753-6885

1063517688 — CASSANDRA MUFF F. N. P.
Practice Location Address:

601 S MAIN ST , SUITE 200
KELLER, TX
76248-7029

Practice Phone: 817-753-6888
Practice Fax: 817-753-6885

1497949366 — THOMAS EYECARE PA
Practice Location Address:

601 S MAIN ST , SUITE 250
KELLER, TX
76248-7029

Practice Phone: 817-379-6200
Practice Fax: 817-379-6224

1396925798 — SONYA CONNER R.D.H.
Practice Location Address:

601 S MAIN ST , SUITE 220
KELLER, TX
76248-7029

Practice Phone: 817-741-8390
Practice Fax: 817-741-8394

1528248937 — JEANNE BASS R.D.H.
Practice Location Address:

601 S MAIN ST , SUITE 220
KELLER, TX
76248-7029

Practice Phone: 817-741-8390
Practice Fax: 817-741-8394

Directions to “ DR. GRADY LEE CARTER III D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.