Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 36090428 | IL |
N | 207QA0505X | Family Doctor - Adult Medicine | MD016727 | LA |
NPI | 1083794937 |
---|---|
Provider Name | Dr. Vera Eloise Carter |
First Address | El Paso, TX 79904-3541 |
Second Address | El Paso, TX 79930-4210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |