Deur, Charles Jay
Deur, Charles Jay is an individual health care provider with primary practice located at 801 Road To Six Flags W Suite 105, Arlington TX 76012-2616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Deur, Charles Jay can be contacted via phone (817) 274-6532.Contact Information
Primary practice address
801 Road To Six Flags W Suite 105
Arlington TX 76012-2616
Phone: (817) 274-6532
Fax: (817) 548-8744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | F4804 | Texas |
Profile Details
| NPI number | 1114969219 |
|---|---|
| LBN Legal business name | Deur, Charles Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | May 9th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114969219 | NPPES |
| Texas | MEDICAID | 131943602 | |
| Texas | Other | 8R1426 | |
| Texas | MEDICAID | 131943604 | |
| Texas | Other | 131943605 | |
| Texas | MEDICAID | 131943601 | |
| Texas | MEDICAID | 131943607 |
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