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General NPI Number Information
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NPI Number | 1902934029
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Entity Type | Organization
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Legal Business Name | CENTRAL TEXAS CHEST CLINIC PA
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 711 W 38TH STE C1
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City | AUSTIN
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State | TX
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Zip | 78705
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Country | US
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Telephone | 512-380-6699
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Fax | 512-380-0131
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Provider Business Mailing Address
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Address Line | 711 W 38TH STE C1
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City | AUSTIN
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State | TX
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Zip | 78705
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Country | US
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Telephone | 512-380-6699
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Fax | 512-380-0131
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID F POHL
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Credential | MD
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Telephone | 512-380-6699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | TX
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