Provider Demographics
NPI:1740552645
Name:WHITE, CHARLES (DPM)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:
Last Name:WHITE
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:932 S ST HWY 123 BYP
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-9756
Mailing Address - Country:US
Mailing Address - Phone:830-491-9211
Mailing Address - Fax:833-471-2992
Practice Address - Street 1:3349 S HIGHWAY 181 STE 6
Practice Address - Street 2:
Practice Address - City:KENEDY
Practice Address - State:TX
Practice Address - Zip Code:78119-5247
Practice Address - Country:US
Practice Address - Phone:830-491-9211
Practice Address - Fax:833-471-2992
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2025-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX2327213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery