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Contact Information

CHARLES WALBOURN, PA
3200 AVENUE E
HONDO, TX78861
 Phone: 830-426-7444
 Fax: 830-426-7468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLES WALBOURN · (Male)

NPI # 1316062573
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/20/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA00820
  • TX Other 8G3322 BLUECROSS
  • TX Other 8J0362 BLUECROSS
  • TX Other 8K5352 BLUECROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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