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

Charles L Secrest, MD

Individual provider Specialist · NPI 1588695654

Charles L Secrest, MD is an Urology in Fort Worth, Texas. Graduated from University of Mississippi School of Medicine in 1986, 40 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Mississippi and Texas.

Years since qualifying
40
Trained at
University of Mississippi School of Medicine
Licensed in
MS, TX
In the registry since
2006
Specialties on file
3
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

1101 6th Ave Ste 110
Fort Worth, TX 76104
Phone: (817) 912-8570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1101 6th Ave Ste 110, Fort Worth, TX 76104 — (817) 912-8570
  • 703 E Marshall Ave, Longview, TX 75601-5500 — (903) 315-4455
  • 700 Olympic Plaza Cir Ste 700, Tyler, TX 75701 — (903) 262-3900
  • 911 S Beckham Ave, Tyler, TX 75701-1907 — (903) 262-3900

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence H2964 (TX)
Specialist Taxonomy 174400000X · Licence B29973 (MS)
Urology Physician Taxonomy 208800000X · Licence 11417 (MS)

Record details

NPI number1588695654
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJune 28, 2019
Mailing address1101 6th Ave Ste 110, Fort Worth, TX 76104-4306

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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