Phalen, Letitia Eileen

Phalen, Letitia Eileen is an individual health care provider with primary practice located at 5656 Bee Caves Rd. Bldg C Ste. 102 , Austin TX 78746. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Phalen, Letitia Eileen can be contacted via phone (512) 323-5465.

Contact Information

Primary practice address
5656 Bee Caves Rd. Bldg C Ste. 102 Austin TX 78746
Phone: (512) 323-5465
Fax: (512) 327-1390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K1277 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X K1277 Texas

Profile Details

NPI number 1609802750
LBN Legal business name Phalen, Letitia Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 20th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609802750 NPPES
Texas MEDICAID 1029957-02
Texas MEDICAID 102995702

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