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Individual

CRAIG A CHARLESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6025 METROPOLITAN DR STE 290, BEAUMONT, TX 77706-2409
(409) 554-0545
(409) 554-0921
Mailing address
538 BROADWAY, WINNIE, TX 77665-7600
(409) 296-6000
(409) 396-6372

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
L9653
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L9653
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175366701
TX
01
8S9650
BLUE CROSS
TX
Enumeration date
12/07/2005
Last updated
12/15/2025
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