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Contact Information

CHARLES H MATTHEWS JR, MD
2600 SAINT MICHAEL DR
TEXARKANA, TX75503-2372
 Phone: 903-614-2666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARLES H MATTHEWS JR · (Male)

NPI Number 1689899676
Status Active
Credentials MD
Entity Individual
Enumeration date 04/16/2007
Last updated 11/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 001964
  • IN License # 01078263A
  • TX License # Q2340
  • TX Medicaid 348741503
  • TX Other 1I0164 MEDICARE
  • TX Other P02587361 RR MEDICARE
Hospital affiliation(s)
  • CHRISTUS ST MICHAEL HEALTH SYSTEM - (Acute Care)
    2600 ST MICHAEL DR
    TEXARKANA, TX 75504
  • WADLEY REGIONAL MEDICAL CENTER - (Acute Care)
    1000 PINE STREET
    TEXARKANA, TX 75501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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