NPI age
20 years
Enumerated 2005-11-07
● Active
Type 1 · Individual
Charles Thomas Black, MD
Black is 1 of 22 surgery providers in Dallas and 1 of 138 in Texas.
Primary specialty
Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-05-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 138 active surgery providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
37% of peers hold multiple states
Subspecialties
0
58% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
12200 Park Central Dr Ste 400
Dallas, TX 752512116
Mailing address
12200 Park Central Dr Ste 400
Dallas, TX 752512116
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4130343 | AETNA |
| 05 (TX) | 138311911 | |
| 01 (TX) | 389962 | ONE HEALTH PLAN |
| 01 (TX) | 127631 | SUPERIOR CHIP |
| 01 | 80390N | BLUE CROSS |
| 01 (TX) | 153410004 | PACIFICARE |
| 01 (TX) | 3725428015 | CIGNA |
| 01 (TX) | 138311914 | CSHCN |
| 01 (TX) | 41814 | AETNA MEDICAID |
| 01 (TX) | 0134405 | UNITED HEALTH CARE |
| 01 (TX) | 10009560 | AMERIGROUP |
| 05 (TX) | 138311913 |
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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