Individual
CHARLES GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 WEST PALM, SUITE 102, BELLVILLE, TX 77418-1300
(979) 865-8484
(979) 865-8686
Mailing address
235 WEST PALM, SUITE 102, BELLVILLE, TX 77418-1300
(979) 865-8484
(979) 865-8686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F9472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127938202
—
TX
Enumeration date
01/23/2006
Last updated
07/26/2021
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