| Charles R Payerle, Dds, Md, Pllc | |
|
12001 South Fwy Suite 207 Burleson TX 76028-7208 | |
| (817) 568-6811 | |
| (817) 568-6813 |
| Full Name | Charles R Payerle, Dds, Md, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12001 South Fwy, Burleson, Texas |
| Authorized Official Name and Position | Charles R Payerle (OWNER) |
| Authorized Official Contact | 8175686811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R Payerle, Dds, Md, Pllc 12001 South Fwy Suite 207 Burleson TX 76028-7208 Ph: (817) 568-6811 | Charles R Payerle, Dds, Md, Pllc 12001 South Fwy Suite 207 Burleson TX 76028-7208 Ph: (817) 568-6811 |
| NPI Number | 1871819292 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 04/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871819292 | NPI | - | NPPES |
| 1780894170 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0023735 (Texas) | Primary |
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