| Charles Medical Clinic | |
|
4210 50th St Suite D Lubbock TX 79413-3863 | |
| (806) 795-1431 | |
| (806) 795-1461 |
| Full Name | Charles Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4210 50th St, Lubbock, Texas |
| Authorized Official Name and Position | Brandi Tadlock (OFFICE MANAGER) |
| Authorized Official Contact | 8067951431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Medical Clinic 4210 50th St Suite D Lubbock TX 79413-3863 Ph: (806) 795-1431 | Charles Medical Clinic 4210 50th St Suite D Lubbock TX 79413-3863 Ph: (806) 795-1431 |
| NPI Number | 1114276276 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114276276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4197 (Texas) | Primary |
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