Dr. Charles V Beall
Surgery in Tyler, TX. Individual provider (NPI-1).
NPI number1457321853
StatusActive
Last updated in NPPESDec 8, 2014
Details
- NPI
- 1457321853
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles V Beall
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2006
- Last updated
- Dec 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | H6039 | TX | Yes |
Practice location
910 E Houston StSuite 550
Tyler, TX 75702-8369
Phone 903-592-7393 · Fax 903-597-7538
Mailing address
Po Box 846098Dallas, TX 75284-6098
Phone 903-324-6450
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