Individual
MR. CHARLES E. HEAUSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
17910 BULVERDE RD STE 115, SAN ANTONIO, TX 78259-3762
(210) 906-8478
Mailing address
PO BOX 33173, SAN ANTONIO, TX 78265-3173
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202630401
—
TX
01
—
800N66
BCBSTX
TX
Enumeration date
01/22/2008
Last updated
01/16/2026
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