West, Charles Adger

West, Charles Adger is an individual health care provider with primary practice located at 1325 Pennsylvania Ave Ste 680 , Fort Worth TX 76104-2133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. West, Charles Adger can be contacted via phone (817) 250-4235.

Contact Information

Primary practice address
1325 Pennsylvania Ave Ste 680 Fort Worth TX 76104-2133
Phone: (817) 250-4235
Fax: (817) 885-7701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 015826R Louisiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X P1031 Texas

Profile Details

NPI number 1326061961
LBN Legal business name West, Charles Adger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326061961 NPPES
Louisiana MEDICAID 1475157

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