Charles Lovelace Do PA

NPI #1275882953 in Mesquite, Texas

Provider Information

NPI Number: 1275882953
Entity Type: Organization
Organization Name: Charles Lovelace Do PA
Primary Specialty: Family Medicine
Enumeration Date: Sep 10, 2012
Last Updated: Dec 5, 2019

Practice Location

Address: 1320 N GALLOWAY AVE STE 103
City: Mesquite
State: Texas
ZIP Code: 75149-2440
Phone: (972) 342-6265

Authorized Official

Name: CHARLES LOVELACE, M.D
Title: OWENER
Phone: (972) 342-6265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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