Provider Demographics
NPI:1972563237
Name:DEES, CHARLES D (MD)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:D
Last Name:DEES
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:BAYLOR SCOTT & WHITE MEDICAL CENTER
Mailing Address - Street 2:100 HILLCREST MEDICAL BLVD
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8897
Mailing Address - Country:US
Mailing Address - Phone:540-536-8000
Mailing Address - Fax:540-536-7681
Practice Address - Street 1:1840 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2808
Practice Address - Country:US
Practice Address - Phone:540-536-8000
Practice Address - Fax:540-536-7681
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN6123207P00000X
VA0101236525207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810002451Medicaid
VA010151317Medicaid
VA010151317Medicaid
VAP00209349Medicare ID - Type UnspecifiedRAILROAD
VA007198W68Medicare PIN