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Individual

DR. CHARLES MORAN MYERS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 BROADWAY ST, ROCKPORT, TX 78382-3333
(361) 729-0646
(361) 729-8854
Mailing address
571 HIDDEN LAKE DRIVE, POWDERLY, TX 75473-3718
(903) 732-3840
(903) 732-9901

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D3352
TX
207V00000X
Obstetrics & Gynecology Physician
D3352
TX
208D00000X
General Practice Physician
Primary
D-3352
TX

Other

Enumeration date
01/23/2006
Last updated
12/31/2009
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