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1528049723
CHARLES THOMAS BLACK
DALLAS, TX
NPI
1528049723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: TX F3761)
Enumeration Date
2005-11-07
Last Update Date
2020-05-13
Business Address
CHARLES THOMAS BLACK MD
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251-2116
Phone number: 214-483-9300
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Mailing Address
CHARLES THOMAS BLACK MD
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251-2116
Phone number: 214-483-9300
Copy
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