Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Edmund Conselman, MD

Individual provider Family Medicine Physician · NPI 1962107631

Charles Edmund Conselman, MD is a Family Practice in Dallas, Texas. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3500 Gaston Ave
Dallas, TX 75246-2088
Phone: (844) 279-3627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V7485 (TX)

Record details

NPI number1962107631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2023
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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