Individual
DR. CHARMAINE R LOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1709 PRECINCT LINE RD, HURST, TX 76054-3131
(817) 281-0402
(817) 281-6364
Mailing address
1709 PRECINCT LINE RD, HURST, TX 76054-3131
(817) 281-0402
(817) 281-6364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
203805
MA
207Q00000X
Family Medicine Physician
Primary
N3841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103837
—
MA
05
—
209273601
—
TX
Enumeration date
11/23/2005
Last updated
06/20/2019
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