Search › Texas › 208800000X
Charles Secrest, MD
NPI 1588695654 · on the registry since 2006
Practice
- Address
- 1101 6th Ave Ste 110
Fort Worth, TX 76104 - Phone
- (817) 912-8570
- Organisation at this address
- Btdi Jv Llp
Numed Imaging Centers Inc
Cornea Associates Of Texas Pa
Touchstone Imaging Of Mesquite, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 700 Olympic Plaza Cir Ste 700, Tyler, TX
- 703 E Marshall Ave, Longview, TX
- 911 S Beckham Ave, Tyler, TX
- 1101 6th Ave Ste 110, Fort Worth, TX
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Also registered as
- 174400000X
208800000X - Licence states on file
- MS, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas