Healthcare Provider Details

I. General information

NPI: 1346340098
Provider Name (Legal Business Name): CHARLES H FISCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 GUADALUPE ST
AUSTIN TX
78751-4223
US

IV. Provider business mailing address

4110 GUADALUPE ST
AUSTIN TX
78751-4223
US

V. Phone/Fax

Practice location:
  • Phone: 512-452-0381
  • Fax: 512-419-2731
Mailing address:
  • Phone: 512-452-0381
  • Fax: 512-419-2731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG6438
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberG6438
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: