Individual
DR. ANTHONY CHARLIES DE MORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
M4027
TX
207RN0300X
Nephrology Physician
Primary
MD161523
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181118401
—
TX
01
—
8M2100
BSBC
TX
01
—
G864980
LICENSE
CA
01
—
MD161523
STATE LICENSE
OR
Enumeration date
07/02/2005
Last updated
04/27/2026
Update your record
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