Provider Demographics
NPI:1437969037
Name:CARTER, MONIQUE
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9155 SCHAEFER RD UNIT 1014
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1256
Mailing Address - Country:US
Mailing Address - Phone:210-325-5909
Mailing Address - Fax:
Practice Address - Street 1:8620 N NEW BRAUNFELS AVE STE 532
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6360
Practice Address - Country:US
Practice Address - Phone:210-686-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No372600000XNursing Service Related ProvidersAdult Companion
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No251B00000XAgenciesCase Management
No372500000XNursing Service Related ProvidersChore Provider
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist