Theophilus S Painter Jr Md Pa

LBN: Theophilus S Painter Jr Md Pa
Theophilus S Painter Jr Md Pa is an health care organization with primary practice located at 800 W 34Th St , Austin TX 78705-1143. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Theophilus S Painter Jr Md Pa can be contacted via phone (512) 454-5821, or through Gatlin, Jane via phone (512) 259-9595.

Contact Information

Primary practice address
800 W 34Th St Austin TX 78705-1143
Phone: (512) 454-5821
Fax: (512) 260-8831
Website:
Map and Directions
Authorized official contact:
Name: Gatlin, Jane
Phone: (512) 259-9595

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X B9692 Texas

Profile Details

NPI number 1104000983
LBN Legal business name Theophilus S Painter Jr Md Pa
DBA Doing business as
Authorized official Gatlin, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated Dec 28th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104000983 NPPES
Texas MEDICAID 127396303

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