Chad Ryan Fontana in Austin - Physician Assistant
Chad Ryan Fontana - NPI 1679533590
Chad Ryan Fontana is a Physician Assistant in Austin, Texas. Chad Ryan Fontana practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chad Ryan Fontana is 1679533590. The last update date is 2021-12-30.
Chad Ryan Fontana's current location address is 6818 Austin Center Blvd Ste 200, Austin, Texas. You can contact this provider via phone number 5128561000. The mailing address for Chad Ryan Fontana is 6818 Austin Center Blvd Ste 200, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Ryan Fontana |
|---|---|
| Address | 6818 Austin Center Blvd Ste 200, Austin, Texas |
| Phone Number | 5128561000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1679533590 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 6818 Austin Center Blvd Ste 200 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787313100 |
| Phone Number | 5128561000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02691 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Where is the Chad Ryan Fontana located?
The Chad Ryan Fontana is located at 6818 Austin Center Blvd Ste 200, Austin, TX 787313100.
What is the Chad Ryan Fontana's specialty and taxonomy code?
The Chad Ryan Fontana's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Chad Ryan Fontana, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chad Ryan Fontana is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679533590 to Chad Ryan Fontana?
The Chad Ryan Fontana received its 1679533590 assignment from the Centers for Medicare & Medicaid Services on 2006-03-24.
When was the Chad Ryan Fontana's information last updated?
The Chad Ryan Fontana's information was last updated on 2021-12-30.