Individual
CHARLES W DERBES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5016 S US HIGHWAY 75, ATTN: TEXOMACARE HOSPITALIST PROGRAM, DENISON, TX 75020-4584
(903) 416-4378
(903) 416-4980
Mailing address
5016 S US HIGHWAY 75, ATTN: TEXOMACARE HOSPITALIST PROGRAM, DENISON, TX 75020-4584
(903) 416-4378
(903) 416-4980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G6926
TX
208M00000X
Hospitalist Physician
G6926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175500101
—
TX
05
—
175500102
—
TX
01
—
P00337846
RR MEDICARE
TX
Enumeration date
05/24/2006
Last updated
01/21/2013
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