Southwestern Colon & Rectal Surgery, Pa in Austin - Specialist

Southwestern Colon & Rectal Surgery, Pa - NPI 1083716138

Southwestern Colon & Rectal Surgery, Pa is a Specialist in Austin, Texas. Southwestern Colon & Rectal Surgery, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southwestern Colon & Rectal Surgery, Pa is 1083716138. The last update date is 2008-01-23.

Southwestern Colon & Rectal Surgery, Pa's current location address is 4007 James Casey Dr Ste D150, Austin, Texas. You can contact this provider via phone number 5124478911. The mailing address for Southwestern Colon & Rectal Surgery, Pa is 4007 James Casey Dr Ste D150, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southwestern Colon & Rectal Surgery, Pa
Address 4007 James Casey Dr Ste D150, Austin, Texas
Phone Number 5124478911
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Solis Lerma Ricardo
Credentials M.D.
Telephone Number 5124478911

NPI Number Detail

NPI Number 1083716138
Provider Enumeration Date 2006-09-01
Last Updated Date 2008-01-23

Provider Mailing Address Detail

Address 4007 James Casey Dr Ste D150
City Austin
State Texas (TX)
Post Code 787453346
Phone Number 5124478911
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No L1757
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8B9880 TX BCBS

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FAQs about Southwestern Colon & Rectal Surgery, Pa

What is the unique identification code assigned to Southwestern Colon & Rectal Surgery, Pa by the Centers for Medicare & Medicaid Services?

The Southwestern Colon & Rectal Surgery, Pa has been issued the NPI (National Provider Identifier) 1083716138. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Southwestern Colon & Rectal Surgery, Pa is physically located?

The Southwestern Colon & Rectal Surgery, Pa is physically situated at the following address: 4007 James Casey Dr Ste D150, Austin, TX, 787453346.

What is Southwestern Colon & Rectal Surgery, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Southwestern Colon & Rectal Surgery, Pa is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

When did Southwestern Colon & Rectal Surgery, Pa receive its 1083716138 assignment?

The Southwestern Colon & Rectal Surgery, Pa was assigned its 1083716138 on 2006-09-01, which is the date when this unique identifier was issued to the organization.

When was the information related to Southwestern Colon & Rectal Surgery, Pa most recently updated or refreshed?

The details pertaining to the Southwestern Colon & Rectal Surgery, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-23.

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