Charles Blake Avera, M.D.
Ophthalmology in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1144281544
StatusActive
Last updated in NPPESDec 10, 2013
Details
- NPI
- 1144281544
- Entity type
- Individual (NPI-1)
- Name
- Charles Blake Avera
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2006
- Last updated
- Dec 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | H224 | TX | Yes |
Practice location
1704 11th StWichita Falls, TX 76301-5020
Phone 940-723-1274 · Fax 940-723-1525
Mailing address
1704 11th StWichita Falls, TX 76301-5020
Phone 940-723-1274 · Fax 940-723-1525
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