CHARLES R PAYERLE DDS, MD PLLC
Ambulatory Health at South Fwy, Burleson, TX

License number
Texas 23735
Category
Ambulatory Health
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. CHARLES RICHARD PAYERLE DDS
Title: PRESIDENT
Phone: (817) 568-6811
Address
Address
12001 South Fwy SOUTH STE 207, Burleson, TX 76028
National Provider ID: 1558791566
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES R PAYERLE DDS MD PLLC

Fort Worth, TX  -  Dallas, TX  -  Burleson, TX

Doing business as:
Charles R Payerle DDS MD Pllc
Registration:
Dec 3, 2009
Addresses:
6912 NE Loop 820, North Richland Hills, TX 76180 (Mailing)
17742 Preston Rd, Dallas, TX 75252
16800 Dallas Pkwy, Dallas, TX 75248
12001 S Fwy, Burleson, TX 76028
State ID:
0801200810
Business type:
Domestic Limited Liability Company (LLC)
Governing Persons:
Charles Payerle (GOVERNING, Director), 1420 Waterwood Dr, Burleson, TX 76028,Salaries-Officers Governing Person, inactive
Agent:
J.a. Garrison & Co,6912 NE Loop 820, North Richland Hills, TX 76180 (Physical)
TIN:
32040783139

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