Provider Demographics
NPI:1508144924
Name:KEY, CHARLES BAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:BAIN
Last Name:KEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2801 TURTLE CREEK BLVD APT 12W
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4886
Mailing Address - Country:US
Mailing Address - Phone:214-522-3101
Mailing Address - Fax:214-522-0790
Practice Address - Street 1:2801 TURTLE CREEK BLVD APT 12W
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4886
Practice Address - Country:US
Practice Address - Phone:214-522-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXC5120207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology