Individual
DR. LARRY STEVEN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525A HOLLY HALL ST, HOUSTON, TX 77054-4124
(713) 526-4243
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G8039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134713002
—
TX
05
—
134713004
—
TX
05
—
300105235
—
TX
01
—
85R092
BCBS
TX
01
—
920002821
RR MEDICARE
TX
Enumeration date
08/22/2005
Last updated
06/06/2024
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