Individual
DR. CHARLES P VANDUYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 CITY POINT DRIVE, SUITE 201, NORTH RICHLAND HILLS, TX 76180-8359
(817) 284-8222
(817) 595-5718
Mailing address
4300 CITY POINT DRIVE, SUITE 201, NORTH RICHLAND HILLS, TX 76180-8359
(817) 284-8222
(817) 595-5718
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
135371
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
H0020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113843006
—
TX
05
—
113843007
—
TX
05
—
113843008
—
TX
01
—
TXB149541
MEDICARE UNDER GROUP 00U61E
TX
Enumeration date
08/11/2005
Last updated
05/22/2014
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