Charles Thomas Black in Dallas - Pediatric Surgery
Charles Thomas Black - NPI 1528049723
Charles Thomas Black is a Pediatric Surgery in Dallas, Texas. Charles Thomas Black practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Charles Thomas Black is 1528049723. The last update date is 2020-05-13.
Charles Thomas Black's current location address is 12200 Park Central Dr Ste 400, Dallas, Texas. You can contact this provider via phone number 2144839300 and fax number 2144839301. The mailing address for Charles Thomas Black is 12200 Park Central Dr Ste 400, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Thomas Black |
|---|---|
| Address | 12200 Park Central Dr Ste 400, Dallas, Texas |
| Phone Number | 2144839300 |
| Fax Number | 2144839301 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528049723 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2020-05-13 |
Provider Mailing Address Detail
| Address | 12200 Park Central Dr Ste 400 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752512116 |
| Phone Number | 2144839300 |
| Fax Number | 2144839301 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | F3761 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4130343 | TX | AETNA | |
| 138311911 | TX | -- | |
| 389962 | TX | ONE HEALTH PLAN | |
| 127631 | TX | SUPERIOR CHIP | |
| 80390N | BLUE CROSS | ||
| 153410004 | TX | PACIFICARE | |
| 3725428015 | TX | CIGNA | |
| 138311914 | TX | CSHCN | |
| 41814 | TX | AETNA MEDICAID | |
| 134405 | TX | UNITED HEALTH CARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Thomas Black?
The Charles Thomas Black has been issued the NPI (National Provider Identifier) 1528049723 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Charles Thomas Black located?
The Charles Thomas Black is located at 12200 Park Central Dr Ste 400, Dallas, TX 752512116.
What is Charles Thomas Black's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Thomas Black is Pediatric Surgery, and the taxonomy code that classifies this field of practice is 2086S0120X.
On what date did Charles Thomas Black receive its 1528049723 assignment from the Centers for Medicare & Medicaid Services?
The Charles Thomas Black was assigned its 1528049723 on 2005-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Charles Thomas Black last refreshed?
The information related to the Charles Thomas Black, including its address, specialty, and other relevant details, was last updated on 2020-05-13.