CHARLES LOVELACE DO PA NPI 1275882953

NPI Information

  • NPI: 1275882953
  • Provider Name: CHARLES LOVELACE DO PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1320 N GALLOWAY AVE STE 103
    MESQUITE, TX
    ZIP 75149
  • Phone: (972) 342-6265

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NPI Details

CHARLES LOVELACE DO PA is a family medicine in Mesquite, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHARLES LOVELACE DO PA NPI is 1275882953. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1320 N GALLOWAY AVE STE 103
MESQUITE, TX
ZIP 75149-440
Phone: (972) 342-6265
Fax: (972) 437-0042

The provider's authorized official is Charles Lovelace .
The authorized official title is Owener and has the following contact phone number (972) 342-6265.

The enumeration date for this NPI number is 9/10/2012 and was last updated on 12/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG9871TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11982771432OTHERTEXASG9871 LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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