Dr Charles P Cameron, MD | |
419 S Main St, Jacksonville, TX 75766-4927 | |
(903) 294-5442 | |
Not Available |
Full Name | Dr Charles P Cameron |
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Gender | Male |
Speciality | Pediatrics |
Location | 419 S Main St, Jacksonville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679898886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | N6206 (Texas) | Primary |
Entity Name | East Texas Medical Center Healthcare Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152 |
Entity Name | Etmc Physician Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
Mailing Address | Practice Location Address |
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Dr Charles P Cameron, MD 419 S Main St, Jacksonville, TX 75766-4927 Ph: (903) 284-5442 | Dr Charles P Cameron, MD 419 S Main St, Jacksonville, TX 75766-4927 Ph: (903) 294-5442 |
Jacqueline Catney Dubois, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 510 E Commerce St, Jacksonville, TX 75766 Phone: 903-535-9041 | |
Courtney E Rose, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 203 Nacogdoches St, Suite 275, Jacksonville, TX 75766 Phone: 309-541-5472 Fax: 903-541-5470 |