DR. CHARLES BAKER MALLETT III MD
NPI 1558348979
Family Medicine in Austin, TX

Active since December 28, 2005
4007 JAMES CASEY STREET, SUITE A200, AUSTIN, TX 78745(512) 441-4400(512) 441-7421 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles Baker Mallett Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES BAKER MALLETT III MD (NPI 1558348979) is an individual family medicine provider in Austin, Texas, licensed in Texas (F1769) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1558348979
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES BAKER MALLETT IIICredential: MD
Location Address4007 JAMES CASEY STREET, SUITE A200Austin, TX 78745-3361
Mailing Address4007 James Casey Street, Suite A200Austin, TX 78745-3361 · (512) 441-4400 · Fax (512) 441-7421
Fax(512) 441-7421
Sole ProprietorNo
Enumeration DateDecember 28, 2005
Last NPPES UpdateNovember 30, 2010
NPI 1558348979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · F1769
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4007 JAMES CASEY STREET, Austin, TX 78745

Other Identifiers 3

Medicare UPINB24593
Medicare ID-Type Unspecified00PJ76
Medicaid111529701TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mallett's NPI number?

The NPI number for Charles Mallett is 1558348979. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Charles Mallett located?

Charles Mallett practices at 4007 James Casey Street Suite A200, Austin, TX 78745. The listed phone number is (512) 441-4400.

What is Charles Mallett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Charles Mallett was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.