NPI 1053641134

Mallett MD, PA

Organisation Family Medicine Physician Austin, TX

Practice location

Address: 4007 James Casey St Suite A-200, Austin, TX 78745-3369
Phone: (512) 441-4400
Fax: (512) 441-7421

Authorised official

Name: Charles Baker Mallett
Title: Owner/Officer
Phone: (512) 441-4400

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence F1769 (TX)

Other Family Medicine providers in Texas →

Registry record

NPI: 1053641134
Entity type: Organization
NPI issued: 12 Jan 2010
Record last updated: 2 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.