Provider Demographics
NPI:1548253578
Name:CARPENTER, DAVID ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 AUDUBON RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-6569
Mailing Address - Country:US
Mailing Address - Phone:903-517-6761
Mailing Address - Fax:
Practice Address - Street 1:410 N COLLEGIATE DR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4886
Practice Address - Country:US
Practice Address - Phone:903-204-4007
Practice Address - Fax:903-200-0277
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9385207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD9385OtherMEDICAL LICENSE
00N994Medicare ID - Type Unspecified
C14213Medicare UPIN