| NPI | 1114276276 |
|---|---|
| Doing Business As | CHARLES MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDI TADLOCK Office Manager 806-795-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L4197) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2014-02-28 |