MEDICARE: SCOTT STEWART CARPENTER DO

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	208600000X	Surgery Physician	L9644	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4626	OTHER	OK	OK LICENSE

General Provider Information

NPI Number	:	1326028036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT STEWART CARPENTER DO

Provider Business Mailing Address
First Line	:	PO BOX 4274
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79608-4274
Country	:	US
Telephone Number	:	325-675-6466
Fax Number	:	325-692-6030

Provider Business Practice Location Address
First Line	:	310 S PECOS ST
Second Line	:
City	:	COLEMAN
State	:	TX
Zip	:	76834-4159
Country	:	US
Telephone Number	:	325-625-2135
Fax Number	:	325-692-6030

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	01/23/2023

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Directions to “ SCOTT STEWART CARPENTER DO” Practice Location

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