Individual
CHARLES EDWARD NEAGLE
Active
Individual
CHARLES EDWARD NEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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