Provider Demographics
NPI:1245312875
Name:CROPPER, CHARLES (MD, MPH, MS)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:CROPPER
Suffix:
Gender:M
Credentials:MD, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1746
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79702-1746
Mailing Address - Country:US
Mailing Address - Phone:915-781-4247
Mailing Address - Fax:
Practice Address - Street 1:3300 N A ST BLDG 8-105
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-5492
Practice Address - Country:US
Practice Address - Phone:915-781-4247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM40132083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine