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Individual

DR. DARIN LEE CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 E DEBBIE LN, STE#2109, MANSFIELD, TX 76063-3674
(817) 473-9125
(817) 473-9126
Mailing address
3400 W WHEATLAND RD, PAV III STE #360, DALLAS, TX 75237-4418
(214) 884-4700
(214) 884-4749

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0373
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0092MT
BCBS
TX
05
1659333771
TX
05
176860803
TX
01
8A7728
BC/BS
TX
Enumeration date
04/04/2006
Last updated
07/29/2014
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