Provider Demographics
NPI:1083499586
Name:BATTLES, CHARLES III
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:BATTLES
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 MERCY ST
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-2715
Mailing Address - Country:US
Mailing Address - Phone:469-409-8104
Mailing Address - Fax:
Practice Address - Street 1:741 MERCY ST
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-2715
Practice Address - Country:US
Practice Address - Phone:469-409-8104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)