Individual
CHARLES ALLEN PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7431 NW LOOP 410 STE 109, SAN ANTONIO, TX 78245-3597
(210) 477-7190
(210) 477-7195
Mailing address
2961 MOSSROCK, SAN ANTONIO, TX 78230-5119
(210) 731-4800
(210) 731-4810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04030
TX
Other
Enumeration date
10/31/2005
Last updated
04/10/2017
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