Provider Demographics
NPI:1790465847
Name:VERRE, CHARITY GAIL
Entity Type:Individual
Prefix:MS
First Name:CHARITY
Middle Name:GAIL
Last Name:VERRE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CHARITY
Other - Middle Name:GAIL
Other - Last Name:WITMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13404 MONDOVI DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0948
Mailing Address - Country:US
Mailing Address - Phone:469-435-0713
Mailing Address - Fax:
Practice Address - Street 1:13404 MONDOVI DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0948
Practice Address - Country:US
Practice Address - Phone:469-435-0713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy