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Organization

CHARLES SWEET, M.D., M.P.H. INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES SWEET M.D., M.P.H. (C.E.O.)
(512) 302-1954
Entity
Organization

Contact information

Practice address
3724 JEFFERSON ST, # 207, AUSTIN, TX 78731-6225
(512) 302-1954
(512) 302-1829
Mailing address
3724 JEFFERSON ST, # 207, AUSTIN, TX 78731-6225
(512) 302-1954
(512) 302-1829

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
N1170
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
N1170
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N1170
MEDICAL LICENSE
TX
Enumeration date
09/21/2009
Last updated
09/21/2009
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