Pondworks Pa is a Psychiatry in Austin, Texas. Pondworks Pa practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Pondworks Pa is 1124139506. The last update date is 2016-03-03.
Pondworks Pa's current location address is 3636 Executive Center Dr Ste G70, Austin, Texas. You can contact this provider via phone number 5123719555 and fax number 5123675756. The mailing address for Pondworks Pa is 3636 Executive Center Dr Ste G70, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pondworks Pa |
|---|---|
| Address | 3636 Executive Center Dr Ste G70, Austin, Texas |
| Phone Number | 5123719555 |
| Fax Number | 5123675756 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Kim C. Bernard |
| Credentials | M.D. |
| Telephone Number | 5123719555 |
NPI Number Detail
| NPI Number | 1124139506 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2016-03-03 |
Provider Mailing Address Detail
| Address | 3636 Executive Center Dr Ste G70 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787311628 |
| Phone Number | 5123719555 |
| Fax Number | 5123675756 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | L8767 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code issued to Pondworks Pa by the Centers for Medicare & Medicaid Services?
The Pondworks Pa has been assigned the NPI (National Provider Identifier) 1124139506 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Pondworks Pa is located?
The Pondworks Pa is situated at the following address: 3636 Executive Center Dr Ste G70, Austin, TX, 787311628.
What is Pondworks Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pondworks Pa is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date was the 1124139506 assigned to Pondworks Pa?
The Pondworks Pa was issued its 1124139506 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Pondworks Pa most recently updated or revised?
The information pertaining to Pondworks Pa, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-03.