Individual
JAY DAVID CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2850 LEWIS LN STE 113, PARIS, TX 75460-9378
(903) 706-5173
(903) 706-5176
Mailing address
1 MEDICAL CENTER DR, STRATFORD, NJ 08084-1500
(865) 677-6708
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R2826
TX
Other
Enumeration date
05/21/2013
Last updated
02/21/2018
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