Individual
CHARLES WILLIAM KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST STE 235, DALLAS, TX 75246-2071
(214) 820-2302
Mailing address
3410 WORTH ST STE 235, DALLAS, TX 75246-2071
(214) 820-2302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
S3217
TX
2086X0206X
Surgical Oncology Physician
Primary
S3217
TX
Other
Enumeration date
03/30/2010
Last updated
11/08/2022
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