| Charles Lovelace DO PA | |
|
1320 N Galloway Ave Ste 103 Mesquite TX 75149-2440 | |
| (972) 342-6265 | |
| (972) 437-0042 |
| Full Name | Charles Lovelace DO PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1320 N Galloway Ave Ste 103, Mesquite, Texas |
| Authorized Official Name and Position | Charles Lovelace (OWENER) |
| Authorized Official Contact | 9723426265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Lovelace DO PA 1320 N Galloway Ave Ste 103 Mesquite TX 75149-2440 Ph: (972) 342-6265 | Charles Lovelace DO PA 1320 N Galloway Ave Ste 103 Mesquite TX 75149-2440 Ph: (972) 342-6265 |
| NPI Number | 1275882953 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 12/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275882953 | NPI | - | NPPES |
| 1982771432 | Other | TX | G9871 LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G9871 (Texas) | Primary |
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