Individual
DR. CHARLES ROSS DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 COLLEGE ST, GRAND PRAIRIE, TX 75050-5638
(972) 262-1596
(972) 642-2294
Mailing address
401 COLLEGE ST, GRAND PRAIRIE, TX 75050-5638
(972) 262-1596
(972) 642-2294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295931401
—
TX
01
—
8DF449
BLUE CROSS
TX
Enumeration date
03/12/2006
Last updated
08/06/2012
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