Mcgonagill, Charles P

Mcgonagill, Charles P is an individual health care provider with primary practice located at 1238 N Pacific St , Mineola TX 75773-1002. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcgonagill, Charles P can be contacted via phone (903) 569-5432.

Contact Information

Primary practice address
1238 N Pacific St Mineola TX 75773-1002
Fax: (903) 569-2994
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1785TG Texas

Profile Details

NPI number 1063419778
LBN Legal business name Mcgonagill, Charles P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063419778 NPPES
Texas Other 23299 WEB-TPA
Texas Other 00E23A WEB-TPA
Texas MEDICAID 164523601 WEB-TPA
Texas Other 22703 WEB-TPA
Texas Other 00E23A WEB-TPA
Texas Other 00E23A WEB-TPA
Texas Other 00E23A WEB-TPA
Texas Other 22703 WEB-TPA
Texas Other 81257Q WEB-TPA
Texas Other 81257Q WEB-TPA
Texas Other 2388239 WEB-TPA
Texas Other 5451470001 WEB-TPA
Texas Other 60583 WEB-TPA
Texas Other 00E23A WEB-TPA
Texas Other 00E23A WEB-TPA
Texas Other 5571379 WEB-TPA
Texas Other 5571379 WEB-TPA
Texas Other 00E23A WEB-TPA
Texas Other 0E23A WEB-TPA
Texas Other 00E23A WEB-TPA
Texas Other 9933256 WEB-TPA

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