Individual
DR. CHARLES J. FOULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
26353
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330790YLP1
MEDICARE TRAVIS COUNTY
TX
01
—
330790YLP2
MEDICARE WILLIAMSON COUNTY
TX
Enumeration date
03/27/2006
Last updated
11/03/2014
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