Individual
DR. CHARLES BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17203 EAGLE HOLLOW DR, SAN ANTONIO, TX 78248-1555
(210) 408-0204
Mailing address
17203 EAGLE HOLLOW DR, SAN ANTONIO, TX 78248-1555
(210) 408-0204
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9084
TX
Other
Enumeration date
10/03/2010
Last updated
10/03/2010
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