Doctor Name: | CHARLES DANIEL ADAMS |
NPI Number: | 1285826552 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | E6030 |
Business Practice Address: | 2 Circle Dr Sugar Land, TX - 774781418 |
Business Phone Number: | 2814901156 |
Business Fax Number: | |
Mailing Address: | 5 S Sandpiper St, LA MARQUE |
State: | TX |
Postal Code: | 775686539 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | E6030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |