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Charles L Melton, M.D.

Internal Medicine, Cardiovascular Disease in Texarkana, TX. Individual provider (NPI-1).

NPI number1962444166
StatusActive
Last updated in NPPESApr 28, 2010

Details

NPI
1962444166
Entity type
Individual (NPI-1)
Name
Charles L Melton
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2006
Last updated
Apr 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular DiseaseF6942TXYes

Practice location

2604 Saint Michael Dr
Ste 345
Texarkana, TX 75503-2379

Phone 903-838-5500 · Fax 903-838-7402

Mailing address

2604 Saint Michael Dr
Ste 345
Texarkana, TX 75503-2379

Phone 903-838-5500 · Fax 903-838-7402

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