NPI 1114921459

Ernest Charlesworth, MD

Practitioner Dermatology Physician San Angelo, TX

Practice location

Address: 120 E Beauregard Ave, San Angelo, TX 76903-5919
Phone: (325) 481-2294
Mailing address: PO Box 22000, San Angelo, TX 76902-7200

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence D8172 (TX)

Other Dermatology providers in Texas →

Registry record

NPI: 1114921459
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2005
Record last updated: 16 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.