Organization
CHARLES SHOETAN MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SHOETAN M.D. (M.D.)
(713) 776-3906
Entity
Organization
Contact information
Practice address
7048 BISSONNET ST, HOUSTON, TX 77074-6010
(713) 776-3906
(713) 776-0150
Mailing address
7048 BISSONNET ST, HOUSTON, TX 77074-6010
(713) 776-3906
(713) 776-0150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N6999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N6999
MEDICAL LICENSE
TX
Enumeration date
02/01/2011
Last updated
02/01/2011
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