Provider Demographics
NPI:1396794327
Name:PRICE, CHARLES DOWNEY (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:DOWNEY
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2855 GRAMERCY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1756
Mailing Address - Country:US
Mailing Address - Phone:713-668-6828
Mailing Address - Fax:713-558-8785
Practice Address - Street 1:333 N. RIVERSHIRE DR.
Practice Address - Street 2:SUITE 160
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2711
Practice Address - Country:US
Practice Address - Phone:936-441-2020
Practice Address - Fax:936-756-0656
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD8796207W00000X
MDD0009968207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2320681OtherBCBS LINK
TX8CV142OtherBLUE CROSS/BLUE SHIELD
TX131026007Medicaid
4555499OtherAETNA
TX1310260-02Medicaid
180011211OtherRAILROAD MEDICARE
83931JOtherBLUE CROSS
TXTXB129494Medicare PIN
83931JOtherBLUE CROSS
4555499OtherAETNA