Dr. Charles Wayne Calvert, D.O.
Family Medicine in Coppell, TX. Individual provider (NPI-1).
NPI number1659592012
StatusActive
Last updated in NPPESMar 10, 2016
Details
- NPI
- 1659592012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Wayne Calvert
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2007
- Last updated
- Mar 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M6063 | TX | Yes |
Practice location
546 E Sandy Lake RdSuite 210
Coppell, TX 75019-5786
Phone 972-258-7426 · Fax 972-870-4926
Mailing address
546 E Sandy Lake RdSuite 210
Coppell, TX 75019-5786
Phone 972-258-7426 · Fax 972-870-4926
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