MEDICARE: ROBERT J CARPENTER JR. M.D.

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
1	174400000X	Specialist	E0847	TX
2	207V00000X	Obstetrics & Gynecology Physician	E0847	TX
3	207VM0101X	Maternal & Fetal Medicine Physician	E0847	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000AC48	OTHER	TX	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801896295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J CARPENTER JR. M.D.

Provider Business Mailing Address
First Line	:	6624 FANNIN ST
Second Line	:	SUITE 2720
City	:	HOUSTON
State	:	TX
Zip	:	77030-2312
Country	:	US
Telephone Number	:	713-795-4600
Fax Number	:	713-795-4422

Provider Business Practice Location Address
First Line	:	6624 FANNIN ST
Second Line	:	SUITE 2720
City	:	HOUSTON
State	:	TX
Zip	:	77030-2312
Country	:	US
Telephone Number	:	713-795-4600
Fax Number	:	713-795-4422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	01/19/2024

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Directions to “ ROBERT J CARPENTER JR. M.D.” Practice Location

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