Individual
CHARLES BLAKE AVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1704 11TH ST, WICHITA FALLS, TX 76301-5020
(940) 723-1274
(940) 723-1525
Mailing address
1704 11TH ST, WICHITA FALLS, TX 76301-5020
(940) 723-1274
(940) 723-1525
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137823407
—
TX
Enumeration date
03/28/2006
Last updated
12/10/2013
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