=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497728166
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DRS. MCHORSE, FOSTER AND NUTSON, L.L.P.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2006
-----------------------------------------------------
Last Update Date | 03/12/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1301 W 38TH ST SUITE 402
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78705-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-454-7453
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1301 W 38TH ST SUITE 402
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78705-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-454-7453
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SENIOR PARTNER
-----------------------------------------------------
Name | DR. THOMAS S. MCHORSE
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 512-459-6503
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | D4223
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------