Organization
CHARLES W. MONDAY, JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WOODROW MONDAY JR. M.D. (MEDICAL DOCTOR)
(936) 295-9101
Entity
Organization
Contact information
Practice address
130 MEDICAL CENTER PKWY STE 6, HUNTSVILLE, TX 77340-4943
(936) 295-9101
(936) 295-5977
Mailing address
PO BOX 1920, HUNTSVILLE, TX 77342-1920
(936) 295-9101
(936) 295-5977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D3345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115078103
—
TX
Enumeration date
01/05/2011
Last updated
01/05/2011
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