| Charles Brady Humphrey, PA | |
|
2604 Saint Michael Dr, Ste 425, Texarkana, TX 75503-2379 | |
| (903) 614-5600 | |
| (903) 614-5630 |
| Full Name | Charles Brady Humphrey |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 2604 Saint Michael Dr, Texarkana, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881874394 | NPI | - | NPPES |
| 200515720A | Medicaid | OK | |
| 297050101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02592 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1217 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Brady Humphrey, PA 919 Hidden Rdg, Irving, TX 75038-3813 Ph: (469) 282-2711 | Charles Brady Humphrey, PA 2604 Saint Michael Dr, Ste 425, Texarkana, TX 75503-2379 Ph: (903) 614-5600 |
Makenzie Sangalli, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2608 Old Red Lick Rd, Texarkana, TX 75501 Phone: 903-701-3240 | |
William Bowling, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Matthew Nathan Sparks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 | |
Ms. Cynthiia Collum, RNFA, BSN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5420 Medical Parkway Dr, Texarkana, TX 75503 Phone: 903-793-8966 Fax: 903-792-1722 | |
Mr. Bruce Whitwell, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273 | |
Kellie Lyn Flaherty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503 Phone: 903-614-5111 | |
Michael Chad Elliott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503 Phone: 903-794-4196 Fax: 903-614-5190 |