Individual
DR. CHARLES EUGENE FONTANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
210 W GREENS RD, SUITE C, HOUSTON, TX 77067
(281) 872-7676
(281) 872-0569
Mailing address
210 W GREENS RD, SUITE C, HOUSTON, TX 77067-4605
(281) 872-7676
(281) 872-0569
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F3960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115903001
—
TX
Enumeration date
10/19/2006
Last updated
07/08/2010
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