Provider Demographics
NPI:1508869991
Name:DOUBLEDAY, CHARLES WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:WILLIAM
Last Name:DOUBLEDAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1235 WYNDEN COMMONS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-2538
Mailing Address - Country:US
Mailing Address - Phone:713-501-1044
Mailing Address - Fax:713-627-1782
Practice Address - Street 1:3 RIVERWAY STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1922
Practice Address - Country:US
Practice Address - Phone:713-501-1044
Practice Address - Fax:713-627-1782
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9375207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology