MEDICARE: DR. JAMES K POHL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	F6077	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144239138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES K POHL MD

Provider Business Mailing Address
First Line	:	801 RR 620 S
Second Line	:	STE 101
City	:	LAKEWAY
State	:	TX
Zip	:	78734-5316
Country	:	US
Telephone Number	:	512-263-4230
Fax Number	:	512-263-0475

Provider Business Practice Location Address
First Line	:	801 RR 620 SOUTH
Second Line	:	STE 101
City	:	AUSTIN
State	:	TX
Zip	:	78734
Country	:	US
Telephone Number	:	512-263-4230
Fax Number	:	512-263-0475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	06/10/2020

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