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Charles L Secrest, MD
Urology Physician in Fort Worth, Texas
NPI 1588695654

Charles L Secrest is a Urology Physician based in Fort Worth, TX. Charles L Secrest practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Charles L Secrest is 1588695654 and holds a License No. B29973 (Texas).

The current practice location address for Charles L Secrest is 1101 6Th Ave Ste 110, Fort Worth, TX and can be reached out via phone at 817-912-8570.

Location: 1101 6Th Ave Ste 110, Fort Worth, TX, 76104-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588695654
Provider Name
Charles L Secrest
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1101 6Th Ave Ste 110, Fort Worth, TX, 76104-4306
Phone Number
817-912-8570
Fax Number
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1694304 05 LA
institution
Provider Business Practice Location Address Details
Address
1101 6Th Ave Ste 110
City
Fort Worth
State
Texas
Zip
76104
Phone Number
817-912-8570
Fax Number
person
Provider Business Mailing Address Details
Address
1101 6Th Ave Ste 110
City
Fort Worth
State
Texas
Zip
76104
Phone Number
817-912-8570
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11417 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
B29973 (Mississippi)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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