Individual
CHARLES WILLIAM HAEGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9870 GATEWAY BLVD N, SUITE B-4, EL PASO, TX 79924-4414
(915) 751-0264
(915) 751-2736
Mailing address
9870 GATEWAY BLVD N, SUITE B-4, EL PASO, TX 79924-4414
(915) 751-0264
(915) 751-2736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2570TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127228804
—
TX
05
—
127228805
—
TX
Enumeration date
08/24/2005
Last updated
02/25/2008
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