Shoultz, Charles A.

Shoultz, Charles A. is an individual health care provider with primary practice located at 7125 New Sanger Ave Ste A , Waco TX 76712-4054. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shoultz, Charles A. can be contacted via phone (254) 399-5400.

Contact Information

Primary practice address
7125 New Sanger Ave Ste A Waco TX 76712-4054
Phone: (254) 399-5400
Fax: (254) 772-8669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J6243 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X J6243 Texas

Profile Details

NPI number 1780680496
LBN Legal business name Shoultz, Charles A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 10th, 2023 - about last year

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 1780680496 NPPES
Texas Other 100345101 FIRSTCARE
Texas Other 1221938 FIRSTCARE
Texas Other 142799902 FIRSTCARE
Texas MEDICAID 117613302 FIRSTCARE
Texas Other 90032 FIRSTCARE
Texas Other 74178408876712A004 FIRSTCARE
Texas MEDICAID 117613301 FIRSTCARE
Texas Other 4559831 FIRSTCARE
Texas Other 83W040 FIRSTCARE

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