Provider Demographics
NPI:1093810673
Name:LITTLES, CHARITA (MD)
Entity Type:Individual
Prefix:
First Name:CHARITA
Middle Name:
Last Name:LITTLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9203 HIGHWAY 6 S STE 124/174
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6386
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-841-9362
Practice Address - Street 1:9746 KATY FWY STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6220
Practice Address - Country:US
Practice Address - Phone:855-803-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6499207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U3447OtherBCBS OF TEXAS
TX172632503Medicaid
TXP00279330OtherRR MEDICARE
TXI12808Medicare UPIN
TX172632503Medicaid