Provider Demographics
NPI:1225130743
Name:CARPENTER, DAVID G (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18652 MCKAY DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5716
Mailing Address - Country:US
Mailing Address - Phone:281-446-1520
Mailing Address - Fax:281-446-0838
Practice Address - Street 1:18652 MCKAY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5716
Practice Address - Country:US
Practice Address - Phone:281-446-1014
Practice Address - Fax:281-446-0838
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3064207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB109008Medicare PIN