ERNEST CHARLESWORTH MD

Allergy and Immunology

San Angelo, Texas

Provider NPI: 1114921459

Provider Information:
 ERNEST  CHARLESWORTH MD


Practice Location:
120 E BEAUREGARD AVE  SAN ANGELO, TX 76903 US
Tel: 325-481-2294  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207N00000X	Physicians Dermatology	TX	D8172

Other Provider Identifiers:

Issuer	Number	State	Type
	125204102	TX	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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