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Individual

GARRETT CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
911 CENTRAL PKWY N STE 300, SAN ANTONIO, TX 78232-5053
(210) 477-4965
(210) 468-0682
Mailing address
11901 W PARMER LN STE 300, CEDAR PARK, TX 78613-7654
(800) 404-6050
(210) 468-0682

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13334
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13334
TEXAS BOARD OF CHIROPRACTIC EXAMINERS
TX
Enumeration date
10/07/2016
Last updated
10/07/2016
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