Individual
DR. CHARLES BAKER MALLETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4007 JAMES CASEY STREET, SUITE A200, AUSTIN, TX 78745-3361
(512) 441-4400
(512) 441-7421
Mailing address
4007 JAMES CASEY STREET, SUITE A200, AUSTIN, TX 78745-3361
(512) 441-4400
(512) 441-7421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F1769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111529701
—
TX
Enumeration date
12/28/2005
Last updated
11/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us