Individual
DR. RONALD A CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4141 NORTH FWY, HOUSTON, TX 77022-4208
(832) 582-8379
Mailing address
2951 MARINA BAY DR, SUITE 130, #145, LEAGUE CITY, TX 77573-2735
(832) 758-1999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24830
OK
207P00000X
Emergency Medicine Physician
Primary
J0811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104679911
—
TX
01
—
1770590531
BCBSTX
TX
Enumeration date
08/02/2006
Last updated
06/06/2014
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