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NPI Code Detail

MEDICARE: CHARLES IKE AUSTIN MD

MEDICARE: CHARLES IKE AUSTIN MD
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
1207Q00000XFamily Medicine PhysicianF3724TX
2207V00000XObstetrics & Gynecology PhysicianF3724TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205879590
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES IKE AUSTIN MD
Provider Business Mailing Address
First Line : 2102 TREASURE HILLS BLVD
Second Line : #3.144.05
City : HARLINGEN
State : TX
Zip : 78550-8736
Country : US
Telephone Number : 956-296-1437
Fax Number : 956-296-1326
Provider Business Practice Location Address
First Line : 205 E TORONTO AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1209
Country : US
Telephone Number : 956-687-6155
Fax Number : 956-682-0597
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 05/09/2016

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Directions to “ CHARLES IKE AUSTIN MD” Practice Location

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