Individual
CHARLES E. EWOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1307 8TH AVE STE 502, FORT WORTH, TX 76104-4172
(817) 335-8478
(817) 882-9910
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27612
MS
207R00000X
Internal Medicine Physician
64486
AZ
207R00000X
Internal Medicine Physician
Primary
Q1399
TX
208M00000X
Hospitalist Physician
Q1399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1D1318
MEDICARE
MS
05
—
354657409
—
TX
Enumeration date
03/02/2006
Last updated
11/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us