Provider Demographics
NPI:1922428994
Name:CARPINTEYRO, SUSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:CARPINTEYRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23960 KATY FWY STE 140
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0892
Mailing Address - Country:US
Mailing Address - Phone:281-505-6760
Mailing Address - Fax:281-505-6761
Practice Address - Street 1:23960 KATY FWY STE 140
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0892
Practice Address - Country:US
Practice Address - Phone:713-464-9939
Practice Address - Fax:713-464-9942
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR4453207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine