Healthcare Provider Details

I. General information

NPI: 1669387916
Provider Name (Legal Business Name): DOCTRONIC PHYSICIANS GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 GUADALUPE ST STE 260
AUSTIN TX
78705-5642
US

IV. Provider business mailing address

2025 GUADALUPE ST STE 260
AUSTIN TX
78705-5642
US

V. Phone/Fax

Practice location:
  • Phone: 415-340-2274
  • Fax: 415-621-9221
Mailing address:
  • Phone: 415-340-2274
  • Fax: 415-621-9221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS FOLEY
Title or Position: CHIEF OPERATING OFFICERS
Credential:
Phone: 415-340-2274