Individual
CHARLES ADISON CHITTAMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E OVILLA RD, RED OAK, TX 75154-3818
(469) 800-9200
Mailing address
4811 PATTI WAY, MIDLOTHIAN, TX 76065-1178
(469) 337-0866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TEMP
TX
Other
Enumeration date
10/12/2018
Last updated
05/10/2023
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