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Individual

DR. CHARLES ERNIE CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 MEDICAL CENTER DR, MCKINNEY, TX 75069-1650
(972) 758-3598
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H4215
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138805027
TX
05
67620361
NM
01
8M1657
BCBS
TX
Enumeration date
12/13/2005
Last updated
06/27/2011
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