MEDICARE: DR. GARY NEIL PAMPLIN M.D.

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	2086S0105X	Surgery of the Hand (Surgery) Physician	D-0246	TX

General Provider Information

NPI Number	:	1437365558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY NEIL PAMPLIN M.D.

Provider Business Mailing Address
First Line	:	3571 FAR WEST BLVD
Second Line	:	# 258
City	:	AUSTIN
State	:	TX
Zip	:	78731-3064
Country	:	US
Telephone Number	:	512-459-4249
Fax Number	:	512-459-7139

Provider Business Practice Location Address
First Line	:	3571 FAR WEST BLVD
Second Line	:	# 258
City	:	AUSTIN
State	:	TX
Zip	:	78731-3064
Country	:	US
Telephone Number	:	512-459-4249
Fax Number	:	512-459-7139

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/09/2007

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