MEDICARE: CARTER MEDICAL EQUIPMENT & SUPPLIES

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	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1002375	OTHER	TX	TEXAS DEPARTMENT OF STATE HEALTH SERVICES

General Provider Information

NPI Number	:	1770281214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTER MEDICAL EQUIPMENT & SUPPLIES

Provider Business Mailing Address
First Line	:	205 E CAMP WISDOM RD STE B
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-2773
Country	:	US
Telephone Number	:	469-934-8530
Fax Number	:	469-581-3700

Provider Business Practice Location Address
First Line	:	205 E CAMP WISDOM RD STE B
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-2773
Country	:	US
Telephone Number	:	469-934-8530
Fax Number	:	469-513-2651

Authorized Official
Title or Position	:	OWNER
Name	:	LATITIA CARTER
Credential	:
Telephone Number	:	469-934-8530

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	06/12/2026

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