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General NPI Number Information
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NPI Number | 1013302181
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Entity Type | Individual
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Provider Name | CODY JOSEPH ESTLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2015
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST STE 1183
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 901 W BEN WHITE BLVD
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City | AUSTIN
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State | TX
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Zip | 78704-6903
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Country | US
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Telephone | 865-342-8940
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | S4299
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | S4299
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | CDR.0004748
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License Number State | CO
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