Charles Allen Proulx PA-C

NPI 1043201932 - Physician Assistant - 363A00000X

NPI Details
NPI 1043201932
Gender Male
Enumeration Date 10/31/2005
Last Updated 01/12/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
7616 CULEBRA RD
STE. 130
SAN ANTONIO TX, 78251-1476, US
Phone (210) 509-2603
Fax (210) 334-2861
Business Location
720 PLEASANTON RD
SAN ANTONIO TX, 78214-1306, US
Phone (210) 921-3800
Fax (210) 334-2861
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA04030
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According to our database, Charles Allen Proulx PA-C NPI is 1043201932, taxonomy code is 363A00000X and license number is PA04030, license state is located at Texas. Charles Allen Proulx PA-C physically located at 7616 Culebra Rd, San Antonio TX, 78251-1476. NPI Number Charles Allen Proulx PA-C has the Individual type.

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1043201932 NPI number is provided on an as is basis without warranty of any kind. 1043201932 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Allen Proulx PA-C are for informational purposes only.