CHARLES R PAYERLE DDS, MD PLLC; NPI #1558791566

Contact Information

CHARLES R PAYERLE DDS, MD PLLC

12001 SOUTH FWY STE 207
BURLESON, TX 76028-7214

Phone: 817-568-6811
Fax: 817-568-6813
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for CHARLES R PAYERLE DDS, MD PLLC

NPI Number 1558791566

LBN Legal business name CHARLES R PAYERLE DDS, MD PLLC

Authorized official CHARLES PAYERLE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/13/2013

Last updated 11/13/2013 - About 13 years ago

Identifiers

License #

23735

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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