Individual
MISS MARVINIA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1901 N MACARTHUR BLVD, ATTENTION - CHELSEA DAHLQUIST, IRVING, TX 75061-2220
(732) 535-2711
Mailing address
3100 CARLISLE ST, 3101, DALLAS, TX 75204-1358
(732) 535-2711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
EMC0004498
MI
207P00000X
Emergency Medicine Physician
Primary
Q7847
TX
Other
Enumeration date
04/04/2012
Last updated
03/12/2024
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