Menger, Charles Matthew

Menger, Charles Matthew is an individual health care provider with primary practice located at 4728 E. Lancaster Ave. , Fort Worth TX 76103-3638. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Menger, Charles Matthew can be contacted via phone (817) 413-0943.

Contact Information

Primary practice address
4728 E. Lancaster Ave. Fort Worth TX 76103-3638
Phone: (817) 413-0943
Fax: (817) 413-6481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00031 Texas

Profile Details

NPI number 1548231525
LBN Legal business name Menger, Charles Matthew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 21st, 2008 - about 17 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 1548231525 NPPES
Texas MEDICAID 193740101
Texas Other 8N8358
Texas Other P00342395

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