Individual
CHARLES DAVID DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-4696
Mailing address
315 N SAN SABA, SUITE 1003, SAN ANTONIO, TX 78207-3154
(210) 704-3718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J1977
TX
Other
Enumeration date
05/19/2006
Last updated
02/10/2015
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