Wayne Leroy Carpenter, P.A. Valid NPI

Individual provider · Physician Assistant · Fort Sam Houston, TX

NPI

1215927686

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA03064 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-26

Last updated

2020-03-23