Individual
CHARLES R. MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 N WALDROP DR STE 811, ARLINGTON, TX 76012-4715
(817) 801-3092
(817) 801-3110
Mailing address
1001 N WALDROP DR STE 811, ARLINGTON, TX 76012-4715
(817) 801-3092
(817) 801-3110
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J3351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030320801
—
TX
Enumeration date
06/22/2005
Last updated
04/25/2017
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