Beall, Charles V

Beall, Charles V is an individual health care provider with primary practice located at 910 E Houston St Suite 550, Tyler TX 75702-8369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beall, Charles V can be contacted via phone (903) 592-7393.

Contact Information

Primary practice address
910 E Houston St Suite 550 Tyler TX 75702-8369
Phone: (903) 592-7393
Fax: (903) 597-7538
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H6039 Texas

Profile Details

NPI number 1457321853
LBN Legal business name Beall, Charles V
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Dec 8th, 2014 - about 11 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 1457321853 NPPES
Texas Other 122995 SUPERIOR/CHIPS
Texas Other 4523320 SUPERIOR/CHIPS
Texas MEDICAID 099323002 SUPERIOR/CHIPS
Texas Other 83Y705 SUPERIOR/CHIPS

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