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Charles Tatum, PHD

NPI 1851317895 · on the registry since 2006 · sole proprietor

Practice

Address
12050 Vance Jackson Rd.
Bldg. 2 Suite 201
San Antonio, TX 78230
Phone
(210) 699-8881
Fax
(210) 699-0503
Clinicians at this address
7

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
106H00000X
103TB0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-03

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