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General NPI Number Information
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NPI Number | 1952386435
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Entity Type | Individual
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Provider Name | CRAIG A CHARLESTON MD
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Gender | Male
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 6025 METROPOLITAN DR STE 290
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City | BEAUMONT
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State | TX
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Zip | 77706-2409
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Country | US
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Telephone | 409-554-0545
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Fax | 409-554-0921
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Provider Business Mailing Address
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Address Line | 538 BROADWAY
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City | WINNIE
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State | TX
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Zip | 77665-7600
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Country | US
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Telephone | 409-296-6000
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Fax | 409-396-6372
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L9653
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | L9653
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License Number State | TX
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