Healthcare Provider Details

I. General information

NPI: 1538306899
Provider Name (Legal Business Name): BRIAN METZGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 07/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 38TH ST SUITE 403
AUSTIN TX
78705-1000
US

IV. Provider business mailing address

1301 W 38TH ST SUITE 403
AUSTIN TX
78705-1000
US

V. Phone/Fax

Practice location:
  • Phone: 512-459-9710
  • Fax: 512-459-9701
Mailing address:
  • Phone: 512-459-9710
  • Fax: 512-459-9701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberN2660
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: