Individual
CHARLES IKE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 E TORONTO AVE, MCALLEN, TX 78503-1209
(956) 687-6155
(956) 682-0597
Mailing address
2102 TREASURE HILLS BLVD, #3.144.05, HARLINGEN, TX 78550-8736
(956) 296-1437
(956) 296-1326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3724
TX
207V00000X
Obstetrics & Gynecology Physician
F3724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002677-05
—
TX
05
—
100267706
—
TX
01
—
100267707
MEDICAID-CSHCN
TX
Enumeration date
06/14/2006
Last updated
05/09/2016
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