Gover-Mendez, Charles B.
Gover-Mendez, Charles B. is an individual health care provider with primary practice located at 1812 S Alameda St , Corpus Christi TX 78404-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gover-Mendez, Charles B. can be contacted via phone (361) 887-7000.Contact Information
Primary practice address
1812 S Alameda St
Corpus Christi TX 78404-2933
Phone: (361) 887-7000
Fax: (361) 561-3185
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J9689 | Texas |
Profile Details
NPI number | 1295733822 |
---|---|
LBN Legal business name | Gover-Mendez, Charles B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2005 |
Last updated | Oct 11th, 2019 - about 6 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 | 1295733822 | NPPES |
Texas | MEDICAID | 1052540-02 |
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