Individual
CHARLOTTE M. EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1400 N WESTMORELAND RD, DEHARO SALDIVAR WOMEN'S HEALTH CENTER, DALLAS, TX 75211-1656
(214) 266-0580
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
464770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070789503
—
TX
05
—
070789504
—
TX
05
—
070789505
—
TX
05
—
070789506
—
TX
05
—
070789507
—
TX
05
—
070789508
—
TX
05
—
070789509
—
TX
05
—
070789510
—
TX
05
—
070789511
—
TX
05
—
070789512
—
TX
01
—
8Y8454
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/21/2006
Last updated
03/02/2009
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