Individual
DR. CHARLES MAWULI GODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
36000 DARNALL LOOP, DEPARTMENT OF MEDICINE, FORT HOOD, TX 76544-5095
(254) 288-8580
Mailing address
3000 HYDRANGEA AVE, KILLEEN, TX 76549-4939
(312) 593-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M0092
TX
207R00000X
Internal Medicine Physician
TP516
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I76343501
—
TX
01
—
M0092
TEXAS STATE MEDICAL LIC.
TX
Enumeration date
08/10/2006
Last updated
03/07/2017
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