Healthcare Provider Details

I. General information

NPI: 1285882795
Provider Name (Legal Business Name): ADRIAN M. POLIT MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E HUNT ST
PLEASANTON TX
78064-4104
US

IV. Provider business mailing address

205 E HUNT ST
PLEASANTON TX
78064-4104
US

V. Phone/Fax

Practice location:
  • Phone: 830-569-3397
  • Fax:
Mailing address:
  • Phone: 830-569-3397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADRIAN MICHAEL POLIT
Title or Position: PRESIDENT
Credential: M.D. FFARCS
Phone: 830-569-3397