Individual
DR. ROBERT OWENS CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2900 E 29TH ST, BRYAN, TX 77802-2622
(979) 776-8440
(877) 601-5854
Mailing address
8441 STATE HIGHWAY 47 STE 3115, BRYAN, TX 77807-3207
(979) 436-0483
(979) 436-0072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
38885
TN
208600000X
Surgery Physician
Primary
N3538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001577
TN MEDICARE PROVIDER NUMBER
TN
Enumeration date
01/04/2007
Last updated
07/26/2021
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