Charles Binney

Individual provider Active NPI Physician Assistant · Bulverde, TX

NPI 1619708989 · NPPES record last updated Aug 9, 2024

Key facts

NPI
1619708989
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
1650 Shepherds RNCH
Bulverde, TX 78163-5011
Phone
(956) 245-3785
NPI assigned
Aug 9, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Yes

Addresses

Primary practice location

1650 Shepherds RNCH
Bulverde, TX 78163-5011

Mailing address

1650 Shepherds RNCH
Bulverde, TX 78163-5011
Phone (956) 245-3785

Other providers in Bulverde, TX

All providers in Bulverde, TX · Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.