Individual
DR. CHARLES S CHURCHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4333 N JOSEY LN, SUITE 102, CARROLLTON, TX 75010-4629
(972) 394-0825
(972) 394-0853
Mailing address
4333 N JOSEY LN, SUITE 102, CARROLLTON, TX 75010-4629
(972) 394-0825
(972) 394-0853
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124340403
—
TX
01
—
D0052191
DPS
TX
Enumeration date
07/26/2005
Last updated
03/07/2023
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