CHARLES SHOALMIRE JR.


Address: 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378
Phone: 9038385500

CHARLES SHOALMIRE JR. (NPI# 1891955043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891955043
Entity Type Individual
Full Name CHARLES SHOALMIRE JR.
Credential APN
Practice Address 2604 Saint Michael Dr Ste 345
Texarkana
TX 75503-2378
Practice Telephone 9038385500
Mailing Telephone 9038385500
Enumeration Date 2008-06-11
Last Update Date 2015-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
609517 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2604 SAINT MICHAEL DR STE 345
City TEXARKANA
State TX
Zip Code 75503-2378

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972140630 Courtney Gray Nurse Practitioner 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 2019-12-02
1780981670 Megan Do Internal Medicine 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 2011-02-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770049397 Jeffery Nash Nurse Practitioner #4 Valley View Circle, Texarkana, TX 75503 2019-02-19
1821583501 Brandy D Acker Psychologist 3615 Richmond Rd, Texarkana, TX 75503 2018-06-26
1366935066 Samantha Lee Harris Nurse Practitioner 4116 Mcknight Rd, Texarkana, TX 75503 2018-06-07
1811416910 Heather Alison Gerber Nurse Practitioner 5903 Brenda Street, Texarkana, TX 75503 2017-09-11
1952838682 John Kyle Abney Counselor 4134 Mcknight Rd, Texarkana, TX 75503 2017-05-12
1699151514 Piney Woods Er IIi LLC Clinic/Center 4102 Gibson Lane, Texarkana, TX 75503 2015-08-03
1609282433 Colby Rebecca Pair Physician Assistant 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 2014-07-01
1265842496 Healthcare Express, LLP Clinic/Center 3513 Richmond Rd, Texarkana, TX 75503 2014-04-28
1134540628 Eagle Dental Center of Texarkana Pllc Dentist 4009 Moores Ln, Texarkana, TX 75503 2013-12-30
1326481664 Juancarlo S. Pascual Family Medicine 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 2013-04-16
Find all providers in zip 75503

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538609920 Jamie Patterson Nurse Practitioner 6018 Summerwood Ln, Texarkana, AR 71854-9403 2017-03-03
1194090787 Candace Ann Hambleton Nurse Practitioner 5602 Richmond Rd Ste 104, Texarkana, TX 75503-0877 2012-03-14
1518147776 Amy A Kennemore Nurse Practitioner 1002 Texas Blvd Ste 325, Texarkana, TX 75501-5118 2007-11-05
1417416819 Erin Mccasland Nurse Practitioner 5730 Summerhill Rd, Texarkana, TX 75503-1635 2019-03-15
1467939975 John Benjamin Harrison Nurse Practitioner 2600 Saint Michael Dr, Texarkana, TX 75503-5220 2018-07-26
1629420310 Tanya Lynn Austin Nurse Practitioner 2600 Saint Michael Dr, Texarkana, TX 75503-5220 2016-07-06
1730583840 Jacob Kelton Nurse Practitioner 2600 Saint Michael Dr, Texarkana, TX 75503-5220 2014-10-17
1144623356 Michael Thomas Crabtree Nurse Practitioner 4105 N Kings Hwy, Texarkana, TX 75503-4861 2014-10-01
1699066969 Mandy Michelle Carter Nurse Practitioner 921 Texas Blvd Ste D, Texarkana, TX 75501-5163 2011-04-21
1669665964 Shannon Larie Mitchell Nurse Practitioner 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 2007-08-21
Find all providers in TEXARKANA

Competitor

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City TEXARKANA
Zip Code 75503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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