Charles Gravely, PA is a medical physician assistant in Dallas, TX. Charles Gravely, PA NPI is 1235307307. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
11910 GREENVILLE AVE
SUITE 500
DALLAS, TX
ZIP 75243-596
Phone: (214) 572-1124
Fax: (214) 572-7724
The NPI 1235307307 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/12/2008 and was last updated on 2/15/2012.