Individual
CHARLES ASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4522
(865) 541-2787
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11871
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100050404
PHP TENNCARE
TN
05
—
3636288
—
TN
05
—
379954601
—
TX
05
—
379954603
—
TX
01
—
4121475
BLUECARE
TN
01
—
616376YQ8A
MEDICARE
TX
01
—
723877
MEDICARE
TX
01
—
75-0818167-015
TRICARE
TX
01
—
8HB331
BCBS
TX
01
—
8JN057
BCBS
TX
01
—
P00285225
MEDICARE TRAVELERS
TN
01
—
P01938569
MEDICARE RAIL ROAD
TX
01
—
P02136788
MEDICARE RAIL ROAD
TX
Enumeration date
06/10/2006
Last updated
01/28/2019
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