Organization
BRUCE CARPENTER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE D CARPENTER M.D. (OWNER)
(254) 897-2202
Entity
Organization
Contact information
Practice address
409 GLENWOOD ST, SUITE 500, GLEN ROSE, TX 76043-4933
(254) 897-2202
(254) 897-2102
Mailing address
PO BOX 806, GLEN ROSE, TX 76043-0806
(254) 897-2202
(254) 897-2102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F6508
TX
Other
Enumeration date
11/16/2007
Last updated
06/16/2008
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