Individual
DR. WILLIAM R. CARPENTIER
Active
Individual
DR. WILLIAM R. CARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
D8675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009896-01
CSHCN
TX
05
—
1009896-02
—
TX
01
—
360004311
RR/MEDICARE
TX
01
—
807365
BLUE SHIELD
TX
Enumeration date
04/03/2006
Last updated
07/10/2007
Update your record
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