Individual
DR. CHARLES JOSEPH YOURSHAW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4055 VALLEY VIEW LN STE 400, DALLAS, TX 75244-5071
(972) 715-3800
Mailing address
941 SOUTHGATE LN, PROSPER, TX 75078-2249
(570) 449-7517
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
Q8397
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2011
Last updated
02/23/2021
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