Individual provider · Type 1 NPI

Charles Richard Fox, LAT, ATC

Specialist · Burnet, TX

NPI number 1023074457 Active

Practice location

1000 The Green Mile
Burnet, TX 78611

Mailing address

9920 County Road 210
Bertram, TX 78605

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XATO772 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1023074457

Charles Richard Fox, LAT, ATC's National Provider Identifier is 1023074457, issued on Apr 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Burnet, TX. The record was last updated on Jul 13, 2026.