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

Charles Thomas Black, MD

Individual provider Pediatric Surgery Physician · NPI 1528049723

Charles Thomas Black, MD is a Pediatric Surgery Physician in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12200 Park Central Dr Ste 400
Dallas, TX 75251-2116
Phone: (214) 483-9300
Fax: (214) 483-9301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence F3761 (TX)

Record details

NPI number1528049723
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 7, 2005
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address12200 Park Central Dr Ste 400, Dallas, TX 75251-2116

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