Charles Walbourn, PA is a
Physician Assistant based in Hondo, Texas. Charles Walbourn is licensed to practice in Texas (license number PA00820) and his current practice location is
3200 Avenue E, Hondo, Texas. He can be reached at his office (for appointments etc.) via phone at
(830) 426-7444.
NPI number for Charles Walbourn is 1316062573 and his current mailing address is 3200 Avenue E, Hondo, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316062573.
Provider's Profile
| Full Name | Charles Walbourn |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 3200 Avenue E, Hondo, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316062573
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Charles Walbourn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316062573 | NPI | - | NPPES |
| 8K5352 | Other | TX | BLUECROSS |
| 8G3322 | Other | TX | BLUECROSS |
| 8J0362 | Other | TX | BLUECROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA00820 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Walbourn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Walbourn, PA
3200 Avenue E,
Hondo, TX 78861
Ph: (830) 426-7444 | Charles Walbourn, PA
3200 Avenue E,
Hondo, TX 78861
Ph: (830) 426-7444 |
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