Individual
MR. CHARLES HENRY EBERHART III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
990 MARLANDWOOD RD, TEMPLE, TX 76502-3365
(254) 791-4545
Mailing address
2406 SKYLINE DR, TEMPLE, TX 76504-7018
(254) 791-4545
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
162842
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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