DR. CHARLES T FOLSOM (NPI# 1922168897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922168897 |
| Entity Type | Individual |
| Full Name | DR. CHARLES T FOLSOM |
| Credential | MD |
| Practice Address |
632 Ed Carey Drive Ste 400 San Benito TX 78586 |
| Mailing Address |
Po Box 364 San Benito TX 78586 |
| Practice Telephone | 9564212665 |
| Practice Fax Number | 9564288930 |
| Mailing Telephone | 9564212665 |
| Mailing Fax Number | 9564288930 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | D3479 | TX | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | D3479 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | 74239921478550A001 | 01 |
| Street Address |
632 ED CAREY DRIVE STE 400 |
| City | SAN BENITO |
| State | TX |
| Zip Code | 78586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903542 | Ana Cecilia Santana | Counselor | 401 E. Business Hwy 77, San Benito, TX 78586 | 2019-10-11 |
| 1629636519 | Jodie Bulnes | Social Worker | 2310 W. Business Hwy 77, San Benito, TX 78586 | 2019-06-05 |
| 1730651225 | Alma De La Garza | Licensed Vocational Nurse | 24369 Resaca Llena Drive, San Benito, TX 78586 | 2018-12-20 |
| 1144719428 | Fernando Vasquez Jr. | Physician Assistant | 400 Us-77 Bus, San Benito, TX 78586 | 2018-05-02 |
| 1447660048 | Rodeo Dental & Orthodontics | Dentist | 1141 Us Business 77, Ste G, San Benito, TX 78586 | 2014-05-05 |
| 1528309044 | Sergio De La Garza | Pharmacist | 1095 W. Business 77, San Benito, TX 78586 | 2013-03-07 |
| 1255692489 | Priscilla Sustaita | Speech-Language Pathologist | 935 S. Travis Rd., San Benito, TX 78586 | 2012-06-05 |
| 1740572148 | Infinity Rehab Services, LLC | Occupational Therapist | 115 N Williams Road, Ste. A, San Benito, TX 78586 | 2011-05-04 |
| 1346556305 | Deborah Gallaga | Pharmacist | 1095 W Highway 77, San Benito, TX 78586 | 2010-08-27 |
| 1811201478 | Pete Martinez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26619 Line G Road, San Benito, TX 78586 | 2010-08-05 |
| Find all providers in zip 78586 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366702219 | John R Tucker | Family Medicine | 178 Lakeview St N, San Benito, TX 78586-5702 | 2012-05-25 |
| 1598022998 | Juan M. Garcia Md | Family Medicine | 2395 La Palma Blvd, Suite H, San Benito, TX 78586-3319 | 2012-04-23 |
| 1194907956 | Maria Munoz Md Pa | Family Medicine | 2395 La Palma St Ste H-i, San Benito, TX 78586-3320 | 2007-12-03 |
| 1659371904 | Jamie Rocky Salinas | Family Medicine | 320 N Williams Rd, San Benito, TX 78586-4118 | 2005-07-28 |
| 1245237874 | William H Heins | Family Medicine | 351 N Sam Houston Blvd, San Benito, TX 78586-4656 | 2005-06-28 |
| 1861040669 | Yesica Mata | Family Medicine | 1390 W Expressway 83, San Benito, TX 78586-7633 | 2019-08-27 |
| 1346568136 | Joy Anne Faye Kroes | Family Medicine | 351 N. Sam Houston, San Benito Medical Associates, Inc., San Benito, TX 78586 | 2010-05-04 |
| 1114108958 | Dr Jamie Rocky Salinas Md Pa | Family Medicine | 320 N Williams Rd, San Benito, TX 78586-4118 | 2007-11-20 |
| 1871545715 | Ferdinand Lyndon Q Magno | Family Medicine | 351 N Sam Houston Blvd, San Benito, TX 78586-4656 | 2006-05-17 |
| 1609873058 | Rafael Lopez | Family Medicine | 351 N Sam Houston Blvd, San Benito, TX 78586-4656 | 2005-06-30 |
| Find all providers in SAN BENITO | ||||
| City | SAN BENITO |
| Zip Code | 78586 |
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| 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.