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Individual

CHARLES R DIFALCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-2000
Mailing address
1 BAYLOR PLZ # BCM320, HOUSTON, TX 77030-3498
(832) 824-1170
(832) 825-6497

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
V6914
TX
208000000X
Pediatrics Physician
V6914
TX
246ZG1000X
Medical Geneticist (PhD) Specialist/Technologist
V6914
TX
261QG0250X
Genetics Clinic/Center
V6914
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/24/2021
Last updated
04/30/2026
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