CHARLES SHOETAN MD A MEDICAL CORPORATION
Marriage and Family Therapists at Bissonnet St, Houston, TX

License number
Texas N6999
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: CHARLES SHOETAN M.D.
Title: M.D.
Phone: (713) 776-3906
Address
Address
7048 Bissonnet St, Houston, TX 77074
National Provider ID: 1861798357
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES SHOETAN, MD A MEDICAL CORPORATION

1901 Augusta Dr APT 308, Houston, TX 77057

Status:
Inactive
Industry:
Health/Allied Services
Registration:
Dec 3, 2010
State ID:
0801351243
Business type:
Foreign Professional Corporation
Entity State:
LA
Director:
Charles O. Shoetan Director, inactive
Agent:
Charles O Shoetan,1901 Augusta Dr #308, Houston, TX 77057 (Physical)
TIN:
32043133142

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