Provider Demographics
NPI:1174778302
Name:CARPENTER, HAROLD DON
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:DON
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 AIRWAY BLVD
Mailing Address - Street 2:#D4
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3647
Mailing Address - Country:US
Mailing Address - Phone:915-779-6200
Mailing Address - Fax:
Practice Address - Street 1:1201 AIRWAY BLVD
Practice Address - Street 2:#D4
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3647
Practice Address - Country:US
Practice Address - Phone:915-779-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50399237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist