Provider Demographics
NPI:1780895938
Name:TOULSON, CHARLES ERNEST (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:ERNEST
Last Name:TOULSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6850 TPC DR STE 212
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3145
Mailing Address - Country:US
Mailing Address - Phone:972-838-1635
Mailing Address - Fax:972-838-1634
Practice Address - Street 1:6850 TPC DR STE 212
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3145
Practice Address - Country:US
Practice Address - Phone:972-838-1635
Practice Address - Fax:972-838-1634
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7698207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187279805Medicaid
TX8CZ776OtherBLUE CROSS
TX187279806Medicaid
TXTXB140728Medicare PIN
TX187279805Medicaid