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NPI Code Detail

MEDICARE: GARRETT CARPENTER

MEDICARE: GARRETT CARPENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor13334TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113334OTHERTXTEXAS BOARD OF CHIROPRACTIC EXAMINERS

General Provider Information

NPI Number : 1336699834
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRETT CARPENTER
Provider Business Mailing Address
First Line : 11901 W PARMER LN STE 300
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-7654
Country : US
Telephone Number : 800-404-6050
Fax Number : 210-468-0682
Provider Business Practice Location Address
First Line : 911 CENTRAL PKWY N STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-5053
Country : US
Telephone Number : 210-477-4965
Fax Number : 210-468-0682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2016
Last Update Date : 10/07/2016

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Directions to “ GARRETT CARPENTER ” Practice Location

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