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NPI Code Detail

MEDICARE: DR. PETER GRAHAM PANTLIN MD

MEDICARE: DR. PETER GRAHAM PANTLIN 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
1207RC0000XCardiovascular Disease PhysicianV7606TX
2207R00000XInternal Medicine PhysicianV7606TX

General Provider Information

NPI Number : 1750842662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER GRAHAM PANTLIN MD
Provider Business Mailing Address
First Line : 1201 W 38TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1006
Country : US
Telephone Number : 512-324-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W 38TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1006
Country : US
Telephone Number : 512-324-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2019
Last Update Date : 03/18/2026

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Directions to “ DR. PETER GRAHAM PANTLIN MD” Practice Location

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