Individual
DR. CHARLES M MYERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 SW 25TH AVE, DEPT OF RADIOLOGY, MINERAL WELLS, TX 76067-8246
(940) 325-7891
(940) 328-6523
Mailing address
PO BOX 1656, ALEDO, TX 76008-1656
(817) 441-1826
(817) 441-1856
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
M1959
TX
2085R0202X
Diagnostic Radiology Physician
M1959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057NK
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
04/13/2006
Last updated
09/11/2025
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