MEDICARE: CHS TEXAS MEDICAL PA

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1811440159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHS TEXAS MEDICAL PA

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4948
Country	:	US
Telephone Number	:	512-728-1461
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 E PARMER LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-3520
Country	:	US
Telephone Number	:	512-728-1461
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	SHANNON FARRINGTON
Credential	:
Telephone Number	:	615-468-6548

Provider Enumeration Date	:	08/03/2016
Last Update Date	:	08/03/2016

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Directions to “CHS TEXAS MEDICAL PA ” Practice Location

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