Individual
DR. CHARLES WOODROW MONDAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D3345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115078103
—
TX
Enumeration date
10/28/2005
Last updated
01/12/2016
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