| Bruce Carpenter MD | |
|
409 Glenwood St Suite 500 Glen Rose TX 76043-4933 | |
| (254) 897-2202 | |
| (254) 897-2102 |
| Full Name | Bruce Carpenter MD |
|---|---|
| Speciality | Family Medicine |
| Location | 409 Glenwood St, Glen Rose, Texas |
| Authorized Official Name and Position | Bruce D Carpenter (OWNER) |
| Authorized Official Contact | 2548972202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Carpenter MD Po Box 806 Glen Rose TX 76043-0806 Ph: (254) 897-2202 | Bruce Carpenter MD 409 Glenwood St Suite 500 Glen Rose TX 76043-4933 Ph: (254) 897-2202 |
| NPI Number | 1699956722 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699956722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F6508 (Texas) | Primary |
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