MEDICARE: DR. CHARLES HUNT SARGENT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	H-3342	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982605978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES HUNT SARGENT M.D.

Provider Business Mailing Address
First Line	:	1010 CENTRAL PKWY S
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5021
Country	:	US
Telephone Number	:	210-255-1499
Fax Number	:	210-255-1782

Provider Business Practice Location Address
First Line	:	1010 CENTRAL PKWY S
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5021
Country	:	US
Telephone Number	:	210-255-1499
Fax Number	:	210-255-1782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	12/08/2015

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