Individual
MR. CHARLES L. SIGNORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190113401
—
TX
01
—
87N483
BCBS
TX
01
—
970013325
RAILROAD MEDICARE
—
01
—
B147
CHAMPUS
—
Enumeration date
10/05/2006
Last updated
09/29/2011
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