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Individual

DR. CHARLES MAXWELL MEDERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2700 BEE CAVES RD, AUSTIN, TX 78746-5642
(512) 250-2020
Mailing address
2700 BEE CAVES RD, AUSTIN, TX 78746-5642
(512) 250-2020

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036.159124
IL
207W00000X
Ophthalmology Physician
Primary
U2087
TX

Other

Enumeration date
03/20/2017
Last updated
03/23/2023
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