Individual
DR. CHARLES LANCE COWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(214) 370-1000
(214) 370-1202
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2996
TX
207RH0003X
Hematology & Oncology Physician
135119
NC
207RH0003X
Hematology & Oncology Physician
N2996
TX
207RX0202X
Medical Oncology Physician
Primary
N2996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203513101
—
TX
05
—
203513102
—
TX
01
—
P00758756
RAILROAD MEDICARE
TX
Enumeration date
02/11/2009
Last updated
10/26/2023
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