Individual
CHARIS DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2215 E VILLA MARIA RD STE 110, BRYAN, TX 77802-2585
(979) 776-2000
Mailing address
2215 E VILLA MARIA RD STE 110, BRYAN, TX 77802-2585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10054290
TX
207RH0003X
Hematology & Oncology Physician
Primary
R6000
TX
Other
Enumeration date
05/12/2015
Last updated
08/26/2022
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