Individual
DR. CHARLES THOMAS SIMONTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10827 ALADDIN DR, DALLAS, TX 75229-4002
(214) 358-4041
Mailing address
10827 ALADDIN DR, DALLAS, TX 75229-4002
(214) 358-4041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4081
TX
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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