Individual
CHARLES ALLEN HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1117 W DE LA ROSA ST, DEL RIO, TX 78840-6224
(830) 768-4800
(830) 768-4844
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-6963
(830) 757-5647
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA03738
PHYSICIAN ASSTANT ID
TX
Enumeration date
03/05/2007
Last updated
10/01/2015
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