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Individual

DR. BILLY W. CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1712 N ACCESS RD, CLYDE, TX 79510
(325) 893-4010
(325) 893-4042
Mailing address
PO BOX 679, CLYDE, TX 79510
(325) 893-4010
(325) 893-4042

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8V4760
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/02/2006
Last updated
01/15/2014
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