Charles L Secrest MD

  • NPI 1588695654
According to our database, the NPI number for Charles L Secrest MD is 1588695654 and activated since 17 years ago. Charles L Secrest MD is an individual provider who specializes in Specialist, and the primary practice location is 1101 6th Ave Ste 110, Fort Worth, TX 76104. You can also contact Charles L Secrest MD via telephone number is (817) 912-8570. Provider NPI information was last updated on 06/28/2019.

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Overview of Charles L Secrest MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/06/2006
  • Last updated: 06/28/2019

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: B29973
  • License State: MS

Provider Mailing Address

  • Address: 1101 6th Ave Ste 110
    Fort Worth, TX 76104
  • Phone: 817-912-8570
  • Fax:

Provider Practice Location

  • Address: 1101 6th Ave Ste 110
    Fort Worth, TX 76104
  • Phone: 817-912-8570
  • Fax:

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: B29973
  • License State: MS
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1694304
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Charles L Secrest MD?
  • A: The npi number for Charles L Secrest MD is 1588695654.
  • Q: What are Charles L Secrest MD's specialties?
  • A: Charles L Secrest MD's specialties are Specialist and different specialities.
  • Q: What is the medical license for Charles L Secrest MD?
  • A: The medical license number for Charles L Secrest MD is B29973 and issued in MS in USA.
  • Q: Where is Charles L Secrest MD practice location?
  • A: Charles L Secrest MD is practicing at 1101 6th Ave Ste 110, Fort Worth, TX 76104.
  • Q: How to contact Charles L Secrest MD?
  • A: You can contact Charles L Secrest MD via 817-912-8570.