Dr. Charles E. Greeson
Dermatologist
120 E Beauregard Ave
San Angelo
, Texas 76903-5919
Dr. Charles E. Greeson
Dermatologist
120 E Beauregard Ave
San Angelo
, Texas 76903-5919
(325) 481-2166
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Charles E. Greeson
- Po Box 22000
- San Angelo, TX
- Zip : 76902-7200
- Fax : (325) 481-2166
- Phone : (325) 658-1511
Second Address
- Dr. Charles E. Greeson
- 120 E Beauregard Ave
- San Angelo, TX
- Zip : 76903-5919
- Fax : (325) 481-2166
- Phone : (325) 658-1511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | P1758 | TX |
National Provider Identifier
| NPI | 1003919994 |
|---|---|
| Provider Name | Dr. Charles E. Greeson |
| First Address | San Angelo, TX 76902-7200 |
| Second Address | San Angelo, TX 76903-5919 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 07/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8FB828 | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.