Bayouth, Charles Victor

Bayouth, Charles Victor is an individual health care provider with primary practice located at 3509 22Nd St , Lubbock TX 79410-1307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bayouth, Charles Victor can be contacted via phone (806) 799-7928.

Contact Information

Primary practice address
3509 22Nd St Lubbock TX 79410-1307
Phone: (806) 799-7928
Fax: (806) 788-8500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X K5255 Texas

Profile Details

NPI number 1952304354
LBN Legal business name Bayouth, Charles Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Nov 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952304354 NPPES
Texas MEDICAID 150430003

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