Individual provider · Type 1 NPI

Charles Thomas Black, MD

Pediatric Surgery Physician · Dallas, TX

NPI number 1528049723 Active

Practice location

12200 Park Central Dr Ste 400
Dallas, TX 75251-2116

Call (214) 483-9300 Map

Fax (214) 483-9301

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XF3761 (TX)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

14 other providers at this address

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About NPI 1528049723

Charles Thomas Black, MD's National Provider Identifier is 1528049723, issued on Nov 7, 2005. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Dallas, TX. The record was last updated on May 13, 2020.