Healthcare Provider Details

I. General information

NPI: 1780981829
Provider Name (Legal Business Name): PEDRO Z. TAUSSIG, M.D., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 02/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S IH 35
PEARSALL TX
78061-6601
US

IV. Provider business mailing address

200 S IH 35
PEARSALL TX
78061-6601
US

V. Phone/Fax

Practice location:
  • Phone: 830-334-3617
  • Fax: 830-334-9812
Mailing address:
  • Phone: 830-334-3617
  • Fax: 830-334-9812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PEDRO Z TAUSSIG
Title or Position: OWNER
Credential: M.D.
Phone: 830-334-3617