Individual
DR. CHARLES LEONARD CECIL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 481-2231
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10041557
TX
208800000X
Urology Physician
Primary
Q8220
TX
Other
Enumeration date
06/16/2011
Last updated
07/13/2023
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