Organization
RED RIVER UROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY D CARPENTER DO (SOLE PROPRIETOR)
(903) 706-5173
Entity
Organization
Contact information
Practice address
2850 LEWIS LN STE 113, PARIS, TX 75460-9378
(903) 272-9391
Mailing address
2850 LEWIS LANE, SUITE 113, PARIS, TX 75460-6332
(903) 706-5173
(903) 706-5176
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
02/21/2018
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