Chaicha-Brom, Tira
Chaicha-Brom, Tira is an individual health care provider with primary practice located at 6500 N Mopac, Bldg 3, Ste 200 , Austin TX 78731-4309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Chaicha-Brom, Tira can be contacted via phone (512) 458-8400.Contact Information
Primary practice address
6500 N Mopac, Bldg 3, Ste 200
Austin TX 78731-4309
Phone: (512) 458-8400
Fax: (512) 458-8593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | P5049 | Texas |
Profile Details
| NPI number | 1548434756 |
|---|---|
| LBN Legal business name | Chaicha-Brom, Tira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Jun 19th, 2014 - about 10 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 | 1548434756 | NPPES |
| Texas | Other | 8DP866 | BCBS INDIVIDUAL |
| Texas | Other | P5049 | BCBS INDIVIDUAL |
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