Most Relevant Information
Provider Data
| NPI Number: | 1003499658 |
| Provider Name: | MARY YETULA CARTER |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0200X |
| Specialty: | Registered Nurse |
| License Number: | 893944 |
Most Important Dates
| Enumeration Date: | 05/02/2021 |
| Last Updated: | 05/02/2021 |
Provider Practice Location
19907 GATLING CT
KATY
TX
774493315
Practice Location Phone/Fax
| Phone: | 4144166652 |
| Fax: |
Provider Mailing Location
19907 GATLING CT
KATY
TX
774493315
Provider Mailing Phone/Fax
| Phone: | 4144166652 |
| Fax: |