Individual
CHARLES E SHOALMIRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2604 SAINT MICHAEL DR STE 345, TEXARKANA, TX 75503-2378
(903) 838-5500
Mailing address
2604 SAINT MICHAEL DR STE 345, TEXARKANA, TX 75503-2378
(903) 838-5500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP116883
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
609517
TX
Other
Enumeration date
06/11/2008
Last updated
11/22/2023
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