Individual
CHARLES STANTON BUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
364 RICHLAND WEST CIR STE A, WACO, TX 76712-7919
(254) 537-0911
(254) 537-0313
Mailing address
PO BOX 23189, WACO, TX 76702-3189
(254) 537-0911
(254) 537-0313
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
T1025
TX
Other
Enumeration date
04/15/2019
Last updated
08/20/2025
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