Mr Charles Edward Bombach, COTA is a
Occupational Therapist - Pediatrics based in Horizon City, Texas. Mr Charles Edward Bombach is licensed to practice in Texas (license number 214465) and his current practice location is
709 Paseo Sereno Dr, Horizon City, Texas. He can be reached at his office (for appointments etc.) via phone at
(915) 702-6267.
NPI number for Mr Charles Edward Bombach is 1962906396 and his current mailing address is 709 Paseo Sereno Dr, Horizon City, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962906396.
Healthcare Provider's Profile
Full Name | Mr Charles Edward Bombach |
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Gender | Male |
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Speciality | Occupational Therapist - Pediatrics |
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Location | 709 Paseo Sereno Dr, Horizon City, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962906396
- Provider Enumeration Date: 03/20/2018
- Last Update Date: 03/20/2018
Medical Identifiers
Medical identifiers for Mr Charles Edward Bombach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962906396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 214465 (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. Mr Charles Edward Bombach 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 |
Mr Charles Edward Bombach, COTA 709 Paseo Sereno Dr, Horizon City, TX 79928-8431 Ph: (915) 702-6267 | Mr Charles Edward Bombach, COTA 709 Paseo Sereno Dr, Horizon City, TX 79928-8431 Ph: (915) 702-6267 |
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