Individual
MR. CHARLES DELMER MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2931 RICHMOND RD, TEXARKANA, TX 75503-2125
(903) 614-3200
(903) 838-7551
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
618386
TX
Other
Enumeration date
08/01/2014
Last updated
12/07/2015
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