| Charles Shoetan Md A Medical Corporation | |
|
7048 Bissonnet St Houston TX 77074-6010 | |
| (713) 776-3906 | |
| (713) 776-0150 |
| Full Name | Charles Shoetan Md A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 7048 Bissonnet St, Houston, Texas |
| Authorized Official Name and Position | Charles Shoetan (M.D.) |
| Authorized Official Contact | 7137763906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Shoetan Md A Medical Corporation 7048 Bissonnet St Houston TX 77074-6010 Ph: (713) 776-3906 | Charles Shoetan Md A Medical Corporation 7048 Bissonnet St Houston TX 77074-6010 Ph: (713) 776-3906 |
| NPI Number | 1861798357 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861798357 | NPI | - | NPPES |
| N6999 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N6999 (Texas) | Primary |
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