Individual
DR. CHARLES D HARZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3605 EXECUTIVE DR, SAN ANGELO, TX 76904-6884
(325) 949-9555
(325) 224-5024
Mailing address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 747-8070
(325) 747-8009
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J2061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125578806
—
TX
01
—
8L2160
MEDICARE
TX
01
—
8V9833
BCBS
TX
Enumeration date
08/20/2006
Last updated
04/19/2021
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