Mathis, Charles R.
Mathis, Charles R. is an individual health care provider with primary practice located at 1001 N Waldrop Dr Ste 811 , Arlington TX 76012-4715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mathis, Charles R. can be contacted via phone (817) 801-3092.Contact Information
Primary practice address
1001 N Waldrop Dr Ste 811
Arlington TX 76012-4715
Phone: (817) 801-3092
Fax: (817) 801-3110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | J3351 | Texas |
Profile Details
| NPI number | 1033115274 |
|---|---|
| LBN Legal business name | Mathis, Charles R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Apr 25th, 2017 - about 7 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 | 1033115274 | NPPES |
| Texas | MEDICAID | 030320801 |
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