MEDICARE: RHONDA KYLEEN BILES PA-C

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	363A00000X	Physician Assistant	PA03084	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA03084	OTHER	TX	TX LICENSE

General Provider Information

NPI Number	:	1982676631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA KYLEEN BILES PA-C

Provider Business Mailing Address
First Line	:	5508 PARKCREST DR
Second Line	:	SUITE 310
City	:	AUSTIN
State	:	TX
Zip	:	78731-4914
Country	:	US
Telephone Number	:	512-420-9900
Fax Number	:	512-420-9043

Provider Business Practice Location Address
First Line	:	5508 PARKCREST DR
Second Line	:	SUITE 310
City	:	AUSTIN
State	:	TX
Zip	:	78731-4914
Country	:	US
Telephone Number	:	512-420-9900
Fax Number	:	512-420-9043

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

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	09/30/2010

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