Provider Demographics
NPI:1124132337
Name:CARPENTER, RONALD HOWARD II (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:HOWARD
Last Name:CARPENTER
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W SANDY LAKE RD STE 128
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2546
Mailing Address - Country:US
Mailing Address - Phone:972-462-8282
Mailing Address - Fax:972-462-8282
Practice Address - Street 1:110 W SANDY LAKE RD STE 128
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2546
Practice Address - Country:US
Practice Address - Phone:972-462-8282
Practice Address - Fax:972-462-8282
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX 10427111N00000X
OK3789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor