Charles Brady Humphrey, PA

NPI #1881874394 in Texarkana, Texas

Provider Information

NPI Number: 1881874394
Entity Type: Individual
Name: Charles Brady Humphrey, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 13, 2007
Last Updated: Jul 28, 2025

Practice Location

Address: 1002 TEXAS BLVD STE 400
City: Texarkana
State: Texas
ZIP Code: 75501-5113
Phone: (903) 838-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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