Bailey, Charles Edward
Bailey, Charles Edward is an individual health care provider with primary practice located at 4310 James Casey St. Building 1 Suite A, Austin TX 78745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bailey, Charles Edward can be contacted via phone (512) 504-7411.Contact Information
Primary practice address
4310 James Casey St. Building 1 Suite A
Austin TX 78745
Phone: (512) 504-7411
Fax: (512) 215-8824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M1485 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | M1485 | Texas |
Profile Details
| NPI number | 1437145174 |
|---|---|
| LBN Legal business name | Bailey, Charles Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Apr 8th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437145174 | NPPES |
| Texas | MEDICAID | 179907401 | |
| Texas | Other | 378596ZSQT |
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