| Charles H. Wahlert Mdpa | |
|
521 Bryan St Denton TX 76201-2705 | |
| (940) 380-1985 | |
| (940) 382-6728 |
| Full Name | Charles H. Wahlert Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 521 Bryan St, Denton, Texas |
| Authorized Official Name and Position | Charles H. Wahlert (C.E.O.) |
| Authorized Official Contact | 9403801985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles H. Wahlert Mdpa 521 Bryan St Denton TX 76201-2705 Ph: (940) 380-1985 | Charles H. Wahlert Mdpa 521 Bryan St Denton TX 76201-2705 Ph: (940) 380-1985 |
| NPI Number | 1659443851 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779582333 |
|---|---|
| Medicare Enrollment ID | O20061207000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659443851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E6190 (Texas) | Primary |
| Provider Name | Charles H Wahlert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073543583 PECOS PAC ID: 2062411622 Enrollment ID: I20061207000403 |
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