Individual
CHARLES EDWARD NEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 492-1334
(973) 492-5174
Mailing address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 492-1334
(973) 492-5174
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
J2706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6484850003
MEDICARE NSC - EFFECT 02/01/2011
TX
01
—
8B7876
BLUE CROSS BLUE SHIELD
TX
01
—
8CR161
BCBS TX 02/01/2011
TX
05
—
98971704
—
TX
01
—
P00913358
MEDICARE RAILROAD - EFFECT 02/01/2011
TX
01
—
TXB117510
MEDICARE PART B - EFFECT 02/01/2011
TX
Enumeration date
10/12/2006
Last updated
02/01/2017
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