Individual
ILIANA J CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6417 CENTRAL PARK BLVD, ABILENE, TX 79606-5884
(325) 695-6370
(325) 695-1505
Mailing address
3223 COUNTY ROAD 389, ANSON, TX 79501-4939
(325) 695-6370
(325) 695-0993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01810
NC
363A00000X
Physician Assistant
562
TN
Other
Enumeration date
08/24/2006
Last updated
07/25/2023
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