Individual
DR. EDWIN HOWARD CHARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 ROBBIE MINCE WAY, DESOTO, TX 75115-2012
(972) 780-8585
Mailing address
1441 N BECKLEY AVE, 5TH FLOOR, DALLAS, TX 75203-1201
(214) 943-9300
(214) 942-3549
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
G4909
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
G4909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134735307
—
TX
Enumeration date
08/22/2005
Last updated
02/16/2012
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