person
Charles Thomas Black, MD
Pediatric Surgery Physician in Dallas, Texas
NPI 1528049723

Charles Thomas Black is a Pediatric Surgery Physician based in Dallas, TX and is specialized in Pediatric Surgery. Charles Thomas Black practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Charles Thomas Black is 1528049723 and holds a License No. F3761 (Texas).

The current practice location address for Charles Thomas Black is 12200 Park Central Dr Ste 400, Dallas, TX and can be reached out via phone at 214-483-9300 and via fax at 214-483-9301.

Location: 12200 Park Central Dr Ste 400, Dallas, TX, 75251-2116
person
Provider Profile Details
NPI Number
1528049723
Provider Name
Charles Thomas Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12200 Park Central Dr Ste 400, Dallas, TX, 75251-2116
Phone Number
214-483-9300
Fax Number
214-483-9301
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4130343 01 TX AETNA
138311911 05 TX
389962 01 TX ONE HEALTH PLAN
127631 01 TX SUPERIOR CHIP
80390N 01 BLUE CROSS
153410004 01 TX PACIFICARE
3725428015 01 TX CIGNA
138311914 01 TX CSHCN
41814 01 TX AETNA MEDICAID
0134405 01 TX UNITED HEALTH CARE
10009560 01 TX AMERIGROUP
138311913 05 TX
institution
Provider Business Practice Location Address Details
Address
12200 Park Central Dr Ste 400
City
State
Zip
75251-2116
Phone Number
214-483-9300
Fax Number
214-483-9301
person
Provider Business Mailing Address Details
Address
12200 Park Central Dr Ste 400
City
State
Zip
75251-2116
Phone Number
214-483-9300
Fax Number
214-483-9301
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
F3761 (Texas)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.