Bastrop County Medical & Associates, Pa in Bastrop - Specialist
Bastrop County Medical & Associates, Pa - NPI 1063539542
Bastrop County Medical & Associates, Pa is a Specialist in Bastrop, Texas. Bastrop County Medical & Associates, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bastrop County Medical & Associates, Pa is 1063539542. The last update date is 2016-11-30.
Bastrop County Medical & Associates, Pa's current location address is 489 Agnes St, Bastrop, Texas. You can contact this provider via phone number 5123219091 and fax number 5125493005. The mailing address for Bastrop County Medical & Associates, Pa is 489 Agnes St, Bastrop, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bastrop County Medical & Associates, Pa |
|---|---|
| Address | 489 Agnes St, Bastrop, Texas |
| Phone Number | 5123219091 |
| Fax Number | 5125493005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gupta Rajeev |
| Credentials | M.D. |
| Telephone Number | 5123219091 |
NPI Number Detail
| NPI Number | 1063539542 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2016-11-30 |
Provider Mailing Address Detail
| Address | 489 Agnes St |
|---|---|
| City | Bastrop |
| State | Texas (TX) |
| Post Code | 786022156 |
| Phone Number | 5123219091 |
| Fax Number | 5125493005 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | K0795 |
|
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 |
|---|---|---|---|
| 92494601 | TX | -- | |
| 0071DM | TX | BCBS | |
| DG3304 | TX | RAILROAD MEDICARE | |
| 10008423 | TX | AMERIGROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bastrop County Medical & Associates, Pa by the Centers for Medicare & Medicaid Services?
The Bastrop County Medical & Associates, Pa has been issued the NPI (National Provider Identifier) 1063539542, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bastrop County Medical & Associates, Pa?
The Bastrop County Medical & Associates, Pa is situated at 489 Agnes St, in the city of Bastrop, state of TX, with the zip code 786022156.
What is Bastrop County Medical & Associates, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bastrop County Medical & Associates, Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Bastrop County Medical & Associates, Pa receive the assignment of its 1063539542 from the Centers for Medicare & Medicaid Services?
The Bastrop County Medical & Associates, Pa was issued its 1063539542 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information related to Bastrop County Medical & Associates, Pa most recently updated or refreshed?
The details pertaining to the Bastrop County Medical & Associates, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-11-30.
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