MEDICARE: DR. CHARLES H FISCHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G6438	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	G6438	TX

General Provider Information

NPI Number	:	1346340098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES H FISCHER M.D.

Provider Business Mailing Address
First Line	:	4110 GUADALUPE ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-4223
Country	:	US
Telephone Number	:	512-452-0381
Fax Number	:	512-419-2731

Provider Business Practice Location Address
First Line	:	4110 GUADALUPE ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-4223
Country	:	US
Telephone Number	:	512-452-0381
Fax Number	:	512-419-2731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2006
Last Update Date	:	09/11/2025

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