Individual
CHARLES STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 TROPHY LAKE DR, TROPHY CLUB, TX 76262-5233
(817) 490-6968
(817) 490-6985
Mailing address
3663 BRIARPARK DR, HOUSTON, TX 77042-5205
(713) 268-3630
(623) 869-1717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24925
TX
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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