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General NPI Number Information
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NPI Number | 1033176946
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Entity Type | Individual
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Provider Name | CHARLES F. LEMAISTRE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 7700 FLOYD CURL 10TH FLOOR, CENTRAL TOWER
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3902
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Country | US
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Telephone | 210-575-6904
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Fax | 210-575-6131
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Provider Business Mailing Address
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Address Line | 8109 FREDERICKSBURG RD PHYSICIAN PRACTICE SERVICE
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3311
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Country | US
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Telephone | 210-575-0254
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Fax | 210-575-0167
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | F4206
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | F4206
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License Number State | TX
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