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Charles B. Gover-mendez, MD
Diagnostic Radiology Physician in Fort Worth, Texas
NPI 1295733822

Charles B. Gover-mendez is a Diagnostic Radiology Physician based in Fort Worth, TX and is specialized in Diagnostic Radiology. Charles B. Gover-mendez practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Charles B. Gover-mendez is 1295733822 and holds a License No. J9689 (Texas).

The current practice location address for Charles B. Gover-mendez is 815 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-321-0404.

Location: 815 Pennsylvania Ave, Fort Worth, TX, 76104-3194
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Provider Profile Details
NPI Number
1295733822
Provider Name
Charles B. Gover-mendez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 Pennsylvania Ave, Fort Worth, TX, 76104-3194
Phone Number
817-321-0404
Fax Number
Provider Enumeration Date
07/08/2005
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1052540-02 05 TX
institution
Provider Business Practice Location Address Details
Address
815 Pennsylvania Ave
City
State
Zip
76104-2224
Phone Number
817-321-0404
Fax Number
person
Provider Business Mailing Address Details
Address
815 Pennsylvania Ave
City
State
Zip
76104-2224
Phone Number
817-321-0404
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
J9689 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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