Individual
DR. CHARLES T FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
632 ED CAREY DRIVE, STE 400, SAN BENITO, TX 78586
(956) 421-2665
(956) 428-8930
Mailing address
PO BOX 364, SAN BENITO, TX 78586
(956) 421-2665
(956) 428-8930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D3479
TX
207R00000X
Internal Medicine Physician
D3479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74239921478550A001
TRICARE
TX
Enumeration date
12/11/2006
Last updated
09/11/2025
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