Provider Information for 1568981066
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Mr. CHARLES ANDREW MCCALL LCSW
Sex: Male
NPI: 1568981066
Last Updated: 2025-01-29
Certification Date: 2025-01-29
Certification Date: 2025-01-29
Details
Name | Value | ||||||||||||
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NPI | 1568981066 | ||||||||||||
Enumeration Date | 2017-09-15 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 526 HUNTON LN WACO, TX 76706-5200 United States Phone: 254-733-6870 | Fax: | ||||||||||||
Primary Practice Address | 7272 WURZBACH RD STE 706 SAN ANTONIO, TX 78240-4803 United States Phone: 210-615-3483 | Fax: | ||||||||||||
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