Healthcare Provider Details
I. General information
NPI: 1154386753
Provider Name (Legal Business Name): JAMES PATRICK FINNIGAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/18/2006
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4314 MEDICAL PKWY SUITE 200
AUSTIN TX
78756-3334
US
IV. Provider business mailing address
6645 WHITEMARSH VALLEY WALK
AUSTIN TX
78746-6367
US
V. Phone/Fax
- Phone: 512-454-1110
- Fax: 512-374-1354
- Phone: 512-329-9446
- Fax: 512-329-0059
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | H5169 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: