Provider Demographics
NPI:1356818975
Name:MESSER, CHARLES H JR
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:H
Last Name:MESSER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8661 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5633
Mailing Address - Country:US
Mailing Address - Phone:830-387-8345
Mailing Address - Fax:
Practice Address - Street 1:8380 WARREN PKWY STE 602
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4253
Practice Address - Country:US
Practice Address - Phone:214-561-8426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33591101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)